Individual
MRS. AMANDA CORONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10601 CHURCH STREET, SUITE 124, RANCHO CUCAMONGA, CA 91730
(909) 447-9624
Mailing address
10601 CHURCH ST STE 124, RANCHO CUCAMONGA, CA 91730-6840
(909) 447-9624
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
95066
CA
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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