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Individual

CECILIA CORONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N/A

Contact information

Practice address
120 W CHESTNUT AVE, CAC LOMPOC REGIONAL OFFICE, LOMPOC, CA 93436-5913
(805) 740-4555
(805) 740-4558
Mailing address
120 W CHESTNUT AVE, CAC LOMPOC REGIONAL OFFICE, LOMPOC, CA 93436-5913
(805) 740-4555
(805) 740-4558

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
Primary
CA

Other

Enumeration date
07/31/2007
Last updated
06/30/2023
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