ANTHONY CORONADO

MODESTO, CA
NPI1184363608
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA61181)
Enumeration Date2022-06-02
Last Update Date2022-12-09
Business Address
ANTHONY CORONADO
4601 DALE RD
MODESTO, CA 95356-9718
Phone number: 209-735-5000
Mailing Address
ANTHONY CORONADO
PO BOX 630
WALNUT GROVE, CA 95690-0630
Phone number: 559-978-1006