| Doctor Name: | MS. YELICE COREA |
| NPI Number: | 1013078682 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 95024848 |
| Business Practice Address: | 500 N 9th St Ste B Modesto, CA - 953505814 |
| Business Phone Number: | 2093411824 |
| Business Fax Number: | |
| Mailing Address: | 500 N 9th St Ste B, MODESTO |
| State: | CA |
| Postal Code: | 953505814 |
| Phone Number: | 2093411824 |
| Fax Number: | |
| NPI Enumeration Date: | 12/13/2006 |
| NPI Last Update Date: | 03/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 95024848 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |