Antonette Jalyssa Cordova
Antonette Jalyssa Cordova is a Student in an Organized Health Care Education/Training Program in Bakersfield, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
5121 Stockdale HwyBakersfield, CA 93309-2656
Phone: (661) 868-5000
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Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence 125109 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1225815608 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 11, 2023 |
| Last updated in NPPES | December 9, 2024 |
| Certification date | December 9, 2024 |
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