Individual
COREY H EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4000
Mailing address
19830 CUYAMA LN, RIVERSIDE, CA 92508-3238
(951) 990-0628
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10170973
CA
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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