Individual
PHILLIP CORREIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
426 N BLACKSTONE ST, TULARE, CA 93274-4449
(559) 688-2021
Mailing address
426 N BLACKSTONE ST, TULARE, CA 93274-4449
(559) 688-2021
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
CA
Other
Enumeration date
01/06/2020
Last updated
10/17/2025
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