Individual
MR. COREY CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
805 W ACEQUIA AVE STE 1B, VISALIA, CA 93291-6163
(559) 406-4720
Mailing address
328 E SAN JOAQUIN AVE UNIT 2, TULARE, CA 93274-4162
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61876
CA
Other
Enumeration date
07/08/2021
Last updated
11/01/2022
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