Individual
BLANCA ESTELA CORONA MADERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 SANTA CLARA DR STE 100, ROSEVILLE, CA 95661-3559
(916) 786-3750
(916) 786-3761
Mailing address
1620 SANTA CLARA DR STE 100, ROSEVILLE, CA 95661-3559
(916) 786-3750
(916) 786-3761
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
CA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
01/26/2024
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