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Individual

ERIN KORNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1756 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 383-3669
(805) 383-3692
Mailing address
1756 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 383-3669
(805) 383-3692

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
198281372
TELECARE CAMARILLO
CA
Enumeration date
11/17/2017
Last updated
11/17/2017
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