Individual
MARY CORBETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 BEVERLY AVE, IMPERIAL BEACH, CA 91932-3404
(619) 575-1687
Mailing address
5512 SHAW ST, SAN DIEGO, CA 92139-3028
(619) 475-7343
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/17/2012
Last updated
06/17/2012
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