Individual
JENNIFER CORREIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(305) 767-3183
Mailing address
3857 BIRCH ST STE 3064, NEWPORT BEACH, CA 92660-2616
(305) 767-3183
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A168444
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A168444
CA
Other
Enumeration date
04/23/2014
Last updated
08/18/2022
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