Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. HOLLY RENEE CORDERO
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · SPOKANE VALLEY, WA
Registration Details
- NPI Number
- 1992149777
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 23, 2013 (12.996379517138 yrs)
- Last Updated
- Apr 23, 2013
- License
-
364500 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13224 E TALL TREE RDSPOKANE VALLEY, WA, 992162411Browse WA providers · Browse ZIP 99216
- Phone
- 5099241506
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.