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Individual

KRISTINE CORPUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
760 ROBLE LN, OXNARD, CA 93036-5049
(805) 758-4882
Mailing address
760 ROBLE LN, OXNARD, CA 93036-5049
(805) 758-4882

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95017583
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95017583
CA BRN
CA
Enumeration date
08/04/2021
Last updated
04/25/2025
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