Individual
CARLIN JANE CORRAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4413 E SHAW ST, LONG BEACH, CA 90803-1640
(949) 910-8105
Mailing address
4413 E SHAW ST, LONG BEACH, CA 90803-1640
(949) 910-8105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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