Individual
VICTORIA LEESA CORONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 BROCKTON AVE, RIVERSIDE, CA 92506-3835
(951) 779-1966
Mailing address
12931 11TH ST, CHINO, CA 91710-4229
(714) 673-7160
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7240
CA
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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