Individual
CORA MAXWELL ORRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
456 ELM AVE, LONG BEACH, CA 90802-2426
(562) 437-6717
Mailing address
456 ELM AVE, LONG BEACH, CA 90802-2426
(562) 437-6717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95144878
CA
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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