Individual
CORY LEROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31681 RIVERSIDE DR, SUITE L, LAKE ELSINORE, CA 92530-7815
(951) 674-9243
Mailing address
31681 RIVERSIDE DR, SUITE L, LAKE ELSINORE, CA 92530-7815
(951) 674-9243
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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