Individual
DOREEN THEOLINDA CORONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
236 LINCOLN ST APT B, PLACENTIA, CA 92870-8233
(714) 520-1988
Mailing address
236 LINCOLN ST APT B, PLACENTIA, CA 92870-8233
(714) 520-1988
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN704405
CA
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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