Individual
MRS. TERESA L CORRAL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
367 N MAGNOLIA AVE STE 101, EL CAJON, CA 92020-3995
(619) 441-6500
Mailing address
367 N MAGNOLIA AVE STE 101, EL CAJON, CA 92020-3995
(619) 401-3914
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
620476
CA
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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