MRS. Jennice M Cordova, PA-C

NPI #1609856079 in Middleton, Idaho

Provider Information

NPI Number
1609856079
Entity Type
Individual
Name
MRS. Jennice M Cordova, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jan 20, 2006
Last Updated
Feb 12, 2008

Practice Location

Address
201 S 1ST AVE E
State
Idaho
ZIP Code
83644-5809
Phone
(208) 585-6311

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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