Individual
CORAL HEREDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
815 W 18TH ST, MERCED, CA 95340-4604
(209) 725-2125
(209) 726-4430
Mailing address
700 SPRIG WAY, LOS BANOS, CA 93635-9431
(209) 829-0827
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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