Provider Demographics
NPI:1932905353
Name:CORDERO, JAYDA ELIZABETH (CSW)
Entity type:Individual
Prefix:
First Name:JAYDA
Middle Name:ELIZABETH
Last Name:CORDERO
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 RIM VIEW RD.
Mailing Address - Street 2:
Mailing Address - City:RANCHOS DE TAOS
Mailing Address - State:NM
Mailing Address - Zip Code:87557
Mailing Address - Country:US
Mailing Address - Phone:505-633-0733
Mailing Address - Fax:
Practice Address - Street 1:31 RIM VIEW RD.
Practice Address - Street 2:
Practice Address - City:RANCHOS DE TAOS
Practice Address - State:NM
Practice Address - Zip Code:87557
Practice Address - Country:US
Practice Address - Phone:505-633-0733
Practice Address - Fax:505-472-8122
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker