Individual
VIVIAN PATRICIA CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
409 CAMINO DEL RIO S STE 201, SAN DIEGO, CA 92108-3505
(619) 346-4020
Mailing address
1865 HOTEL CIR S, SAN DIEGO, CA 92108-3319
(619) 673-8116
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
09/15/2025
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