Organization
MEDREV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA MARI (OWNER)
(951) 772-9355
Entity
Organization
Contact information
Practice address
558 CHELSEA WAY, CORONA, CA 92879-5880
(951) 772-9355
Mailing address
558 CHELSEA WAY, CORONA, CA 92879-5880
(951) 772-9355
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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