Individual
CORALIE ELIZABETH ETTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
430 PALORA AVE, STE G., YUBA CITY, CA 95991-4729
(530) 674-2603
(530) 674-0941
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 795-3619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95034994
CA
363LF0000X
Family Nurse Practitioner
Primary
95004398
CA
Other
Enumeration date
09/26/2014
Last updated
06/30/2016
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