Individual
MR. COREY CUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DON
Contact information
Practice address
3933 HARRISON ST, RIVERSIDE, CA 92503-3523
(195) 122-7238
Mailing address
3933 HARRISON ST, RIVERSIDE, CA 92503-3523
(833) 391-0505
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
849463
CA
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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