Individual
DENISE JEAN CORRIVEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8008 FROST ST STE 200, SAN DIEGO, CA 92123-4207
(858) 292-7527
Mailing address
8008 FROST ST STE 200, SAN DIEGO, CA 92123-4207
(858) 292-7527
(858) 863-5010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61332
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/05/2020
Last updated
05/13/2026
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