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Individual

MRS. BRENDA CORPUZ-CARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN

Contact information

Practice address
286 S 16TH ST, GROVER BEACH, CA 93433-2245
(805) 473-7055
(805) 474-7473
Mailing address
286 S 16TH ST, GROVER BEACH, CA 93433-2245
(805) 473-7055
(805) 474-7473

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
530705
CA

Other

Enumeration date
11/12/2009
Last updated
11/12/2009
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