Individual
CHERYL COSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 ORANGE ST, RIVERSIDE, CA 92501-3613
(951) 955-4545
Mailing address
4000 ORANGE ST, RIVERSIDE, CA 92501-3613
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
21441
CA
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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