Individual
CORAZON P MENCHACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8225
Mailing address
712 DUORO DR, CHULA VISTA, CA 91910-7812
(619) 565-2605
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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