Individual
ILDELISA CORONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 GIANT ROCK PL, NORTH LAS VEGAS, NV 89031-1674
(801) 455-6113
Mailing address
1902 GIANT ROCK PL, NORTH LAS VEGAS, NV 89031-1674
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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