Most Relevant Information
Provider Data
| NPI Number: | 1003240995 |
| Provider Name: | SHYANNE CORONADO |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/27/2013 |
| Last Updated: | 08/27/2013 |
Provider Practice Location
201 W CHAPEL ST
SANTA MARIA
CA
934584303
Practice Location Phone/Fax
| Phone: | 8059222243 |
| Fax: |
Provider Mailing Location
1017 E BARTON AVE
LOMPOC
CA
934363519
Provider Mailing Phone/Fax
| Phone: | 6232567809 |
| Fax: |