Most Relevant Information
Provider Data
| NPI Number: | 1003684093 |
| Provider Name: | TERESA STEPHANIE CORONA |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/19/2023 |
| Last Updated: | 12/19/2023 |
Provider Practice Location
1250 6TH AVE
SAN DIEGO
CA
921014300
Practice Location Phone/Fax
| Phone: | 6193818093 |
| Fax: | 6193464536 |
Provider Mailing Location
707 RAMONA AVE
SPRING VALLEY
CA
919775125
Provider Mailing Phone/Fax
| Phone: | 6193818093 |
| Fax: | 6193464536 |