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Individual

CORAL MONTECINOS-WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3490 LA SIERRA AVE STE F920, RIVERSIDE, CA 92503-5214
(951) 723-5311
Mailing address
3490 LA SIERRA AVE STE F920, RIVERSIDE, CA 92503-5214
(951) 723-5311

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
170198472
CA

Other

Enumeration date
11/12/2020
Last updated
11/08/2021
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