Individual
EDITH CORRALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3031 W MARCH LN, SUITE 117 S, STOCKTON, CA 95219-6500
(209) 952-2588
Mailing address
4719 QUAIL LAKES DR, #G240, STOCKTON, CA 95207-5267
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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