Individual
MS. TANDY LUV CORRALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17096 SEQUOIA ST STE 116, HESPERIA, CA 92345-1411
(760) 985-7765
(760) 888-3575
Mailing address
16808 MAIN STREET SUITE D BOX 345, HESPERIA, CA 92345
(760) 221-2421
(760) 888-3575
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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