Individual
MRS. CARLA DEBORAH CORKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DIP. AC MSAOM, MSA
Contact information
Practice address
2517 RT 35 VALLEY PARK, BUILDING B SUITE 101, MANASQUAN, NJ 08736-0872
(732) 303-4172
Mailing address
29 BRADLEY AVE, BRICK, NJ 08724-8137
(732) 303-4172
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
25MZ00094700
NJ
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139486
NATIONAL CERTIFICATION COMMISSION FOR ACUPUNCTURE AND ORIENTAL MEDICINE -NCCAOM
—
01
—
25MZ00094700
NEW JERSEY STATE LICENSE
NJ
Enumeration date
10/14/2012
Last updated
07/03/2023
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