Individual
MARY CLAIRE CORRAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(855) 477-5627
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(855) 477-5627
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
8484
CA
Other
Enumeration date
07/29/2015
Last updated
01/25/2016
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