Individual
ANTHONY J CORONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4206 WINDING BRANCHES DR, WILMINGTON, NC 28412-2339
(516) 850-7731
Mailing address
4206 WINDING BRANCHES DR, WILMINGTON, NC 28412-2339
(516) 850-7731
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NC
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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