Juan Luis Cordova

NPI #1043704034 in El Centro, California

Provider Information

NPI Number: 1043704034
Entity Type: Individual
Name: Juan Luis Cordova
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jun 21, 2018
Last Updated: Jun 21, 2018

Practice Location

Address: 1480 S IMPERIAL AVE
City: El Centro
State: California
ZIP Code: 92243-4200
Phone: (760) 455-1706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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