Individual
CORALY SERRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHP
Contact information
Practice address
805 STARK ST, AUSTIN, TX 78756-1508
(415) 531-9263
Mailing address
805 STARK ST, AUSTIN, TX 78756-1508
(415) 531-9263
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT122907
TX
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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