Individual
CORAL MARINA CACERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S 7TH AVE STE 245, WEST READING, PA 19611-1451
(484) 628-7900
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT236980
PA
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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