ANNIE M CORONADO

OTHELLO, WA
NPI1154757359
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WA  PA60415801)
Enumeration Date2013-09-19
Last Update Date2021-03-24
Business Address
ANNIE M CORONADO PA
1515 E COLUMBIA ST
OTHELLO, WA 99344-1846
Phone number: 509-488-5256
Mailing Address
ANNIE M CORONADO PA
1515 E COLUMBIA ST
OTHELLO, WA 99344-1846
Phone number: 509-488-5256
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