Most Relevant Information
Provider Data
| NPI Number: | 1003442252 |
| Provider Name: | CORRINA CORRAL |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/19/2020 |
| Last Updated: | 03/19/2020 |
Provider Practice Location
1001 S STATE ST STE A
HEMET
CA
925437188
Practice Location Phone/Fax
| Phone: | 9513576959 |
| Fax: | 9513562115 |
Provider Mailing Location
PO BOX 2686
HEMET
CA
925462686
Provider Mailing Phone/Fax
| Phone: | 9513576959 |
| Fax: | 9513262115 |