NPI 1083289516
Eustolia Cordova, CPSS
Practice location
- Address
- 3269 S Main St STE 230, South Salt Lake, UT 84115-3769
- Phone
- (801) 935-4447
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1083289516
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 May 2021
- Record last updated
- 26 May 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.