Individual
MRS. CORINNE ROBERTA BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NR
Contact information
Practice address
6837 RIDGEWAY DR, POLLOCK PINES, CA 95726-9503
(530) 647-2647
(530) 644-3003
Mailing address
6837 RIDGEWAY DR, POLLOCK PINES, CA 95726-9503
(530) 647-2647
(530) 644-3003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
363849
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EPS016570
—
CA
05
—
RVN004730
—
CA
Enumeration date
05/15/2007
Last updated
07/08/2007
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