Individual
MISS CORINNE ELISSA CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12812 EARLY RUN LN, RIVERVIEW, FL 33578-3376
(813) 677-7460
Mailing address
12812 EARLY RUN LN, RIVERVIEW, FL 33578-3376
(813) 677-7460
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
33871
PR
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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