Individual provider · Type 1 NPI
Juan Luis Cordova
Driver · El Centro, CA
NPI number
1043704034
Active
Practice location
1480 S Imperial Ave
El Centro, CA 92243-4200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | F4704795 (CA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
Other driver providers in El Centro
About NPI 1043704034
Juan Luis Cordova's National Provider Identifier is 1043704034, issued on Jun 21, 2018. The primary taxonomy on file is Driver (172A00000X), and the practice location is in El Centro, CA. The record was last updated on Jun 21, 2018.