CORISSA VIDAL

CEDAR RAPIDS, IA
NPI1134570278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IA  G126019)
Enumeration Date2016-06-30
Last Update Date2016-06-30
Business Address
Mrs. CORISSA VIDAL PMHNP-BC
1026 A AVE NE
CEDAR RAPIDS, IA 52402-5036
Phone number: 563-503-0306
Mailing Address
Mrs. CORISSA VIDAL PMHNP-BC
1026 A AVE NE
CEDAR RAPIDS, IA 52402-5036
Phone number: 563-503-0306
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