Kenneth Leslie Corum JR.
NPI #1629324181 in Wildomar, California
Provider Information
- NPI Number
- 1629324181
- Entity Type
- Individual
- Name
- Kenneth Leslie Corum JR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Aug 1, 2012
- Last Updated
- Aug 1, 2012
Practice Location
- Address
- 36010 HIDDEN SPRINGS RD
- City
- Wildomar
- State
- California
- ZIP Code
- 92595-7622
- Phone
- (951) 678-1755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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