Individual
JESSICA MARLENE CORRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
570 S MOUNT VERNON AVE STE G, SAN BERNARDINO, CA 92410-2737
(909) 884-6700
Mailing address
570 S MOUNT VERNON AVE STE G, SAN BERNARDINO, CA 92410-2737
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
95029536
CA
Other
Enumeration date
05/10/2025
Last updated
05/16/2025
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