Individual
LOURDES CORONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 SW 112TH AVE, MIAMI, FL 33174-1127
(786) 222-3392
Mailing address
211 SW 112TH AVE, MIAMI, FL 33174-1127
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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