Individual
CORLISS R. SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7777 MILLIKEN AVE STE 350, RANCHO CUCAMONGA, CA 91730-6782
(909) 484-9182
(909) 476-0050
Mailing address
7777 MILLIKEN AVE STE 350, RANCHO CUCAMONGA, CA 91730-6782
(909) 484-9182
(909) 476-0050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C42346
CA
Other
Enumeration date
01/08/2007
Last updated
01/17/2012
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