Doctor Name: | NATALIE CORRAL |
NPI Number: | 1417204595 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1731 W Bullard Ave Suite 128 Fresno, CA - 937112372 |
Business Phone Number: | 5594784691 |
Business Fax Number: | 5594124119 |
Mailing Address: | 1731 W Bullard Ave, Ste 128 FRESNO |
State: | CA |
Postal Code: | 937112372 |
Phone Number: | 5594784691 |
Fax Number: | 5594124119 |
NPI Enumeration Date: | 08/08/2012 |
NPI Last Update Date: | 08/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |