Individual
ITZEL CORONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
21040 HOMESTEAD RD STE 102, CUPERTINO, CA 95014-0238
(408) 413-8315
(408) 743-5445
Mailing address
1534 LOCHNER DR, SAN JOSE, CA 95127-4765
(408) 413-8315
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
18400
CA
Other
Enumeration date
03/01/2019
Last updated
09/09/2020
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