Joseph Cordova

NPI 1316060056 - Counselor - 101YA0400X

NPI Details
NPI 1316060056
Gender Male
Enumeration Date 04/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
620 N AURORA ST STE 1
STOCKTON CA, 95202-2276, US
Phone (209) 468-2332
Fax (209) 468-8640
Business Location
746 W ALAMEDA ST
MANTECA CA, 95336-4404, US
Phone (209) 824-2355
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Mr. Joseph Cordova NPI is 1316060056, taxonomy code is 101YA0400X Joseph Cordova physically located at 620 N Aurora St Ste 1, Stockton CA, 95202-2276. NPI Number Joseph Cordova has the Individual type.

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1316060056 NPI number is provided on an as is basis without warranty of any kind. 1316060056 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Cordova are for informational purposes only.