Individual
BEVERLY L CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17284 SLOVER AVE, FONTANA, CA 92337-7584
(833) 574-2273
Mailing address
1151 PORTOFINO CT UNIT 101, CORONA, CA 92881-7201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
02/12/2023
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