Individual
ADRIANA CORRALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 406-3087
Mailing address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 406-3087
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
698026
CA
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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