COREY LAKE

CHULA VISTA, CA
NPI1316809346
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95416500)
Enumeration Date2025-11-28
Last Update Date2025-11-28
Business Address
COREY LAKE RN
330 MOSS ST
CHULA VISTA, CA 91911-2005
Phone number: 801-602-0426
Mailing Address
COREY LAKE RN
4545 ARIZONA ST APT 309
SAN DIEGO, CA 92116-5910
Phone number:
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