Individual
CORINA RESABALA VILLACIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13800 HEACOCK ST STE C236, MORENO VALLEY, CA 92553-3364
(951) 653-0819
(951) 656-2614
Mailing address
7444 SUFFOLK PL, FONTANA, CA 92336-5452
(909) 648-3756
(909) 463-4896
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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