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Individual

ALEJANDRO CORONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
16520 HARBOR BLVD STE G, FOUNTAIN VALLEY, CA 92708-1360
(714) 210-1298
Mailing address
16520 HARBOR BLVD STE G, FOUNTAIN VALLEY, CA 92708-1360
(714) 210-1298

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO04917
224P00000X
Prosthetist
CPO04917

Other

Enumeration date
11/15/2023
Last updated
11/15/2023
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