Individual
SANDRA CORONA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 W IVESBROOK AVE APT 117, LANCASTER, CA 93534-2592
(661) 945-7736
Mailing address
44558 10TH ST W, LANCASTER, CA 93534-3333
(661) 723-1111
(661) 726-0587
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
71964
CA
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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