Individual
COREY M BREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
15497 W SAND ST, VICTORVILLE, CA 92392-2910
(909) 490-5991
(442) 327-9315
Mailing address
15497 W SAND ST, VICTORVILLE, CA 92392-2910
(909) 490-5991
(442) 327-9315
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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