Individual provider · Type 1 NPI

Lydia Iris Cordonero, MSW INTERN

Student in an Organized Health Care Education/Training Program · San Bruno, CA

NPI number 1740538099 Active

Practice location

3761 Elston Dr
San Bruno, CA 94066-1141

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740538099

Lydia Iris Cordonero, MSW INTERN's National Provider Identifier is 1740538099, issued on Aug 16, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Bruno, CA. The record was last updated on Aug 30, 2012.