Individual
ZOE REBECCA KORNWEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
1240 E PLAZA BLVD, STE 604 #374, NATIONAL CITY, CA 91950
(619) 775-2977
Mailing address
1240 E PLAZA BLVD, STE 604 #374, NATIONAL CITY, CA 91950
(619) 775-2977
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-ZCINVD
CA
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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