Individual
CORION A STATEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
741 COCKATOO CT, KISSIMMEE, FL 34759-4510
(689) 241-0481
Mailing address
741 COCKATOO CT, KISSIMMEE, FL 34759-4510
(689) 241-0481
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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