Corinne Elizabeth Zachry
Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).
NPI number1164020657
StatusActive
Last updated in NPPESOct 15, 2020
Details
- NPI
- 1164020657
- Entity type
- Individual (NPI-1)
- Name
- Corinne Elizabeth Zachry
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2020
- Certification date
- Oct 15, 2020
- Last updated
- Oct 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1149 S Hill St # H375Los Angeles, CA 90015-2212
Phone 213-821-5977
Mailing address
1149 S Hill St # H375Los Angeles, CA 90015-2212
Phone 213-821-5977
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