Individual
MS. CORRINNE I. GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 W FERN AVE, REDLANDS, CA 92373-5916
(909) 793-3311
(909) 796-4158
Mailing address
PO BOX 2200, REDLANDS, CA 92373-0722
(909) 793-3311
(909) 796-4158
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ17368Z
—
CA
Enumeration date
06/08/2006
Last updated
06/12/2009
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