MRS. JENNICE CORDOVA, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1609856079
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA-281 (ID) |
Frequently Asked Questions
NPI 1609856079 is the National Provider Identifier for MRS. JENNICE CORDOVA, PA-C, a Physician Assistant - Medical provider located in Middleton, ID. This NPI was enumerated on January 20, 2006.
MRS. JENNICE CORDOVA, PA-C practices at 201 S 1ST AVE E, Middleton, ID 83644.
Quick Facts
- NPI
- 1609856079
- Type
- Individual
- Enumerated
- Jan 20, 2006
- Last Updated
- Feb 12, 2008
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