Individual
JACKELINE CORRALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3188 AIRWAY AVE STE F, COSTA MESA, CA 92626-4652
(714) 689-1380
(714) 689-1381
Mailing address
10222 ANGELL ST, DOWNEY, CA 90242-5004
(714) 689-1380
(714) 689-1381
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/03/2009
Last updated
04/03/2009
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