Individual
ELIZABETH MEDINA CORONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3490 THE ALAMEDA, SANTA CLARA, CA 95050-4333
(408) 276-2590
Mailing address
3490 THE ALAMEDA, SANTA CLARA, CA 95050-4333
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
09/29/2023
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