Individual
LILIA ANA CORONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
4149 TWEEDY BLVD, #J, SOUTH GATE, CA 90280-6167
(323) 567-3333
Mailing address
11984 OLD RIVER SCHOOL RD, APT. 7, DOWNEY, CA 90242-2162
(562) 927-2143
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
44619
CA
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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