Individual
COREY RENEE BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 E SANTA CLARA ST, SAN JOSE, CA 95113-1936
(669) 245-3428
Mailing address
425 E SANTA CLARA ST, SAN JOSE, CA 95113-1936
(408) 781-9916
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
01/15/2025
Last updated
12/05/2025
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