Individual
PRISCILLA CORONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2660 E 24TH ST, SUITE 2, YUMA, AZ 85365
(928) 483-5658
(928) 483-5314
Mailing address
2660 E 24TH ST, SUITE 2, YUMA, AZ 85365-3289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7638
STATE LICENSE NUMBER
AZ
Enumeration date
04/08/2019
Last updated
01/30/2025
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