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Individual

CARLOS A CORONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
540 G ST, CHULA VISTA, CA 91910-3604
(619) 422-9208
Mailing address
540 G ST, CHULA VISTA, CA 91910-3604
(619) 422-9208

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
10/25/2019
Last updated
10/25/2019
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