Individual
MARISELA VANESSA CORONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29790 PAINTED DESERT DR, MENIFEE, CA 92584-7809
(951) 265-7788
Mailing address
29790 PAINTED DESERT DR, MENIFEE, CA 92584-7809
(951) 265-7788
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
CA
Other
Enumeration date
03/24/2019
Last updated
03/24/2019
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