Individual
MARIANA CORONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6080 SURETY DR STE 215, EL PASO, TX 79905-2073
(915) 629-9600
Mailing address
9221 DARLINA DR, EL PASO, TX 79925-5905
(915) 345-9676
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
185565
TX
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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