Jaime Cordoba

NPI #1194300749 in Fallon, Nevada

Provider Information

NPI Number: 1194300749
Entity Type: Individual
Name: Jaime Cordoba
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Mar 16, 2021
Last Updated: Mar 16, 2021

Practice Location

Address: 461 W WILLIAMS AVE
City: Fallon
State: Nevada
ZIP Code: 89406-2734
Phone: (775) 867-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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