Individual provider · Type 1 NPI

Corenna Louise Waller

Specialist · Fresno, CA

NPI number 1699079046 Active

Practice location

4411 E Kings Canyon Rd, Bldg 319
Fresno, CA 93702-3604

Call (559) 453-6227 Map

Fax (559) 452-8901

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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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About NPI 1699079046

Corenna Louise Waller's National Provider Identifier is 1699079046, issued on Dec 28, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fresno, CA. The record was last updated on Dec 28, 2010.