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Search › California › 104100000X

Mary Mccorquodale, CGBA

NPI 1679757850 · on the registry since 2007 · sole proprietor

Practice

Address
301 S State St
Ukiah, CA 95482
Phone
(707) 468-9347
Fax
(707) 468-5234
Organisation at this address
Community Care Management Corp
Multipurpose Senior Services Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
104100000X
104100000X
Sex
Female
Record last updated
2007-12-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California