Individual
ELEANOR CORBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 VETERANS AVE, COMMUNITY/PUBLIC AFFAIRS SERVICE, BILOXI, MS 39531-2410
(228) 523-4958
(228) 523-4501
Mailing address
400 VETERANS AVE, COMMUNITY/PUBLIC AFFAIRS SERVICE, BILOXI, MS 39531-2410
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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