Individual
MS. EVELYN CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
Mailing address
2351 W DESIREE LN, TEMPE, AZ 85282-6128
(928) 210-9124
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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