CARLOS A CORRAL

INDIO, CA
NPI1669152302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  101YA0400X)
Enumeration Date2023-07-18
Last Update Date2023-07-18
Business Address
CARLOS A CORRAL
44374 PALM ST
INDIO, CA 92201-3117
Phone number: 760-342-6616
Mailing Address
CARLOS A CORRAL
44374 PALM ST
INDIO, CA 92201-3117
Phone number: 760-342-6616
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