Individual
CARMEN CORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 509-2400
Mailing address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 509-2400
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN250025
CA
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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