Cordova Gomez, Kelly Vanessa

Cordova Gomez, Kelly Vanessa is an individual health care provider with primary practice located at 2101 Courage Dr , Fairfield CA 94533-6717. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Cordova Gomez, Kelly Vanessa can be contacted via phone (707) 428-1131.

Contact Information

Primary practice address
2101 Courage Dr Fairfield CA 94533-6717
Phone: (707) 428-1131
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 736829 California

Profile Details

NPI number 1932960473
LBN Legal business name Cordova Gomez, Kelly Vanessa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2024
Last updated Jan 22nd, 2024 - about 11 months 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.

Request for update

Popular Providers