Individual
MS. KNAYA CORAZON TABORA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1401 BAILEY AVE, MODULAR OFFICE BUILDING, NEEDLES, CA 92363-3104
(760) 326-7100
(760) 459-2210
Mailing address
1401 BAILEY AVE, MODULAR OFFICE BUILDING, NEEDLES, CA 92363-3104
(760) 326-7100
(760) 459-2210
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
346762
CA
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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