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Individual

MICHAEL ISAAC CONRAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1951 LYNWOOD CIR, CORONA, CA 92881-7448
(951) 751-3605
Mailing address
1951 LYNWOOD CIR, CORONA, CA 92881-7448

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95039039
CA

Other

Enumeration date
05/14/2026
Last updated
05/14/2026
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