Individual
CORRA LENN HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN. IBCLC
Contact information
Practice address
2415 WILSHIRE BLVD, SANTA MONICA, CA 90403-5805
(310) 612-4421
Mailing address
2415 WILSHIRE BLVD, SANTA MONICA, CA 90403-5805
(310) 612-4421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
198589
CA
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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