Provider Demographics
NPI:1205216041
Name:FRONTIERO, CORINNE ELIZABETH
Entity Type:Individual
Prefix:
First Name:CORINNE
Middle Name:ELIZABETH
Last Name:FRONTIERO
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CORINNE
Other - Middle Name:ELIZABERTH
Other - Last Name:ISAACS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:29324 ELMWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-3007
Mailing Address - Country:US
Mailing Address - Phone:586-277-9308
Mailing Address - Fax:
Practice Address - Street 1:29324 ELMWOOD CT
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-3007
Practice Address - Country:US
Practice Address - Phone:586-277-9308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-07
Last Update Date:2015-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other