Individual
ENRIQUETA H CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN PHN
Contact information
Practice address
2220 E GONZALES RD, OXNARD, CA 93036-3707
(805) 981-5115
Mailing address
2220 E GONZALES RD, OXNARD, CA 93036-3707
(805) 981-5115
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN423604
CA
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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