Avery Corrine Cordova
NPI #1285347948 in Arroyo Grande, California
Provider Information
- NPI Number
- 1285347948
- Entity Type
- Individual
- Name
- Avery Corrine Cordova
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Psychiatric Technician
- Enumeration Date
- Dec 27, 2022
- Last Updated
- Dec 27, 2022
Practice Location
- Address
- 354 S HALCYON RD STE C
- City
- Arroyo Grande
- State
- California
- ZIP Code
- 93420-3879
- Phone
- (805) 473-7060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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