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Individual

ZACK QUINNTON CORDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
25911 STANFORD ST, HEMET, CA 92544-4986
(951) 925-7107
Mailing address
150 S SAN JACINTO ST APT Q, HEMET, CA 92543-4516
(951) 350-9140

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
CA

Other

Enumeration date
03/02/2026
Last updated
03/02/2026
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