Individual
SIERRA CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2288
Mailing address
PO BOX 801443, ATTN: SIERRA CORONADO, CHARLOTTESVILLE, VA 22908-1443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001296296
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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