CORA RIDENOUR

SAN DIEGO, CA
NPI1750168076
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  63295)
Enumeration Date2023-09-11
Last Update Date2026-06-25
Business Address
CORA RIDENOUR
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 800-926-8273
Mailing Address
CORA RIDENOUR
FILE 57326
LOS ANGELES, CA 90074-7326
Phone number: 800-926-8273