Individual
CORBEN MICHAEL PHILIP RALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 N NORMA ST STE 131, RIDGECREST, CA 93555-2577
(760) 463-5059
(760) 499-9259
Mailing address
1400 N NORMA ST STE 131, RIDGECREST, CA 93555-2577
(760) 463-5059
(760) 499-9259
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
04/08/2025
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