Knaya Corazon Tabora, RN Valid NPI
Individual provider · Administrator Registered Nurse · Needles, CA
- NPI
- 1376217232
- Type
- Individual (Type 1)
- Primary specialty
- Administrator Registered Nurse (Registered Nurse)
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 163WA2000X
- License number
- 346762 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2021-08-04
- Last updated
- 2021-08-04
Practice location
1401 Bailey Ave, Modular Office Building
Needles, CA 92363-3104
(760) 326-7100