Individual
CORLISS CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5108 SANDY LN, FAIRFIELD, OH 45014-2738
(866) 934-7450
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
(833) 510-4357
(866) 460-2997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95160494
CA
163W00000X
Registered Nurse
Primary
RN.413821
OH
Other
Enumeration date
05/23/2024
Last updated
05/29/2024
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