Ivonne Cordoba, RN
Registered Nurse in San Diego, CA. Individual provider (NPI-1).
NPI number1164046454
StatusActive
Last updated in NPPESJun 2, 2020
Details
- NPI
- 1164046454
- Entity type
- Individual (NPI-1)
- Name
- Ivonne Cordoba
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 2, 2020
- Certification date
- Jun 2, 2020
- Last updated
- Jun 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 95101942 | CA | Yes |
Practice location
6991 Balboa Ave Rm 70San Diego, CA 92111-3447
Phone 858-496-8232 · Fax 858-496-8234
Mailing address
6991 Balboa Ave Rm 70San Diego, CA 92111-3447
Phone 858-496-8232 · Fax 858-496-8234
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