Individual
BRYAN ESQUIVEL CORONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6400 TUPELO DR, CITRUS HEIGHTS, CA 95621-1741
(916) 729-3098
Mailing address
14700 WASHINGTON AVE APT 109, SAN LEANDRO, CA 94578-4237
(510) 361-4429
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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