Individual
OSCAR CORACERO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
13500 VICTORIA ST, ETIWANDA, CA 91739-2043
(909) 899-2531
(909) 899-3661
Mailing address
2829 UNION ST, RIALTO, CA 92376-4534
(909) 875-4095
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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