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NPI Code Detail

MEDICARE: CIARA BRITTANY CORNEJO

MEDICARE: CIARA BRITTANY CORNEJO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
21041C0700XClinical Social WorkerACSW10831CA

General Provider Information

NPI Number : 1437559952
Entity Type Code : Individual
Provider Name (Legal Business Name) : CIARA BRITTANY CORNEJO
Provider Business Mailing Address
First Line : 3333 14TH ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-3858
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3333 14TH ST
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-3858
Country : US
Telephone Number : 951-775-6045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2014
Last Update Date : 05/16/2025

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Directions to “ CIARA BRITTANY CORNEJO ” Practice Location

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