Individual
DONNA MCCORKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1600 BAILEY AVE, SUITE 2, NEEDLES, CA 92363-3105
(760) 326-9313
Mailing address
1600 BAILEY AVE, NEEDLES, CA 92363-3105
(760) 326-9313
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
566557
CA
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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