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Corenna Louise Waller
Specialist in Fresno, California
NPI 1699079046

Corenna Louise Waller is a Specialist based in Fresno, CA. Corenna Louise Waller practices in Fresno, CA. The NPI Number for Corenna Louise Waller is 1699079046 and holds a License No. (California).

The current practice location address for Corenna Louise Waller is 4411 E Kings Canyon Rd, Fresno, CA and can be reached out via phone at 559-453-6227 and via fax at 559-452-8901.

Location: 4411 E Kings Canyon Rd, Fresno, CA, 93702-3604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699079046
Provider Name
Corenna Louise Waller
Credential
Provider Entity Type
Individual
Gender
Female
Address
4411 E Kings Canyon Rd, Fresno, CA, 93702-3604
Phone Number
559-453-6227
Fax Number
559-452-8901
Provider Enumeration Date
12/28/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4411 E Kings Canyon Rd
City
Fresno
State
California
Zip
93702-3604
Phone Number
559-453-6227
Fax Number
559-452-8901
person
Provider Business Mailing Address Details
Address
4411 E Kings Canyon Rd
City
Fresno
State
California
Zip
93702-3604
Phone Number
559-453-6227
Fax Number
559-452-8901
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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