Cordova, Avery Corrine

Cordova, Avery Corrine is an sole proprietor health care provider with primary practice located at 354 S Halcyon Rd Ste C , Arroyo Grande CA 93420-3879. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Cordova, Avery Corrine can be contacted via phone (805) 473-7060.

Contact Information

Primary practice address
354 S Halcyon Rd Ste C Arroyo Grande CA 93420-3879
Phone: (805) 473-7060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 37349 California

Profile Details

NPI number 1285347948
LBN Legal business name Cordova, Avery Corrine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2022
Last updated Dec 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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