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Contact Information

JORDANA K CORIZ, CCSS
18 EAGLE CT
PO BOX 90
SANTO DOMINGO PUEBLO, NM87057
 Phone: 505-239-1718
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for JORDANA K CORIZ · (Female)

NPI # 1912889478
Status Active
Credentials CCSS
Entity Individual
Enumeration date 07/24/2025
Last updated 11/10/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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