Individual
MRS. CRYSTAL CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
295 POSADA LN STE C, TEMPLETON, CA 93465-4055
(805) 434-1166
Mailing address
235 HEADWATERS RD, TEMPLETON, CA 93465-5131
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1038419
CA
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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