Individual
DOROTHY R CORREIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1860 PENNSYLVANIA AVE STE 200, FAIRFIELD, CA 94533-3550
(707) 646-4180
Mailing address
131 SUNSET AVE STE E-165, SUISUN CITY, CA 94585-6345
(707) 646-4180
(707) 646-4185
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20514
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
951584
—
AZ
Enumeration date
02/15/2007
Last updated
01/11/2021
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