JOSE CORONADO

SAINT PAUL, MN
NPI1760581540
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  R1452343)
Enumeration Date2006-09-21
Last Update Date2010-06-21
Business Address
-- JOSE CORONADO CRNA
333 SMITH AVE N
SAINT PAUL, MN 55102-2344
Phone number: 651-735-0501
Mailing Address
-- JOSE CORONADO CRNA
8681 EAGLE POINT BLVD
LAKE ELMO, MN 55042-8628
Phone number: 651-251-8021