Cordovi Tirado, Jennifer Marlen

Cordovi Tirado, Jennifer Marlen is an individual health care provider with primary practice located at 900 N Heritage Dr , Ridgecrest CA 93555-5536. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cordovi Tirado, Jennifer Marlen can be contacted via phone (760) 446-4571.

Contact Information

Primary practice address
900 N Heritage Dr Ridgecrest CA 93555-5536
Phone: (760) 446-4571
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA63430 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1902489586
LBN Legal business name Cordovi Tirado, Jennifer Marlen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2021
Last updated Oct 31st, 2023 - about 2 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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