Mary Louise Cordova

NPI 1619167780 - Counselor - 101YA0400X

NPI Details
NPI 1619167780
Gender Female
Enumeration Date 07/25/2007
Last Updated 07/25/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3315 INTERNATIONAL BLVD
OAKLAND CA, 94601-3005, US
Phone (510) 536-4764
Fax
Business Location
1319 FRUITVALE AVE
OAKLAND CA, 94601-2927, US
Phone (510) 535-2303
Fax (510) 535-2346
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number 61072
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According to our database, Mary Louise Cordova NPI is 1619167780, taxonomy code is 101YA0400X and license number is 61072, license state is located at California. Mary Louise Cordova physically located at 3315 International Blvd, Oakland CA, 94601-3005. NPI Number Mary Louise Cordova has the Individual type.

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1619167780 NPI number is provided on an as is basis without warranty of any kind. 1619167780 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Louise Cordova are for informational purposes only.