JANELLE LYNN CORDOVA

FORT DRUM, NY
NPI1174866594
Former NameJANELLE LYNN DAGOSTINO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence:   1109711)
Enumeration Date2013-04-03
Last Update Date2013-04-03
Business Address
-- JANELLE LYNN CORDOVA PA-C
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number: 315-772-9823
Mailing Address
-- JANELLE LYNN CORDOVA PA-C
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number: 315-772-9823