Individual
DIANA COREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
260 E ONTARIO AVE STE 204, CORONA, CA 92879-3507
(951) 272-6595
Mailing address
5201 LOS ENCANTOS CIR, LA PALMA, CA 90623-2216
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95012160
CA
Other
Enumeration date
09/16/2020
Last updated
04/11/2022
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