Individual
KETURAH PATRICE CORONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
36137 WHITE FIR WAY, DADE CITY, FL 33525-9005
(678) 656-7474
Mailing address
36137 WHITE FIR WAY, DADE CITY, FL 33525-9005
(678) 656-7474
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
170050
FL
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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