MARISSA CORONADO, DEM

Midwife, Lay

Active Individual
NPI: 1629688734

Practice Address

10886 S SHILLING AVE APT 2034
South Jordan, UT 84095

Phone: (510) 305-5460

Specialties

Specialty Code Primary License
Midwife, Lay 175M00000X Yes -

Frequently Asked Questions

NPI 1629688734 is the National Provider Identifier for MARISSA CORONADO, DEM, a Midwife, Lay provider located in South Jordan, UT. This NPI was enumerated on August 4, 2020.
MARISSA CORONADO, DEM practices at 10886 S SHILLING AVE APT 2034, South Jordan, UT 84095.

Quick Facts

NPI
1629688734
Type
Individual
Enumerated
Aug 4, 2020
Last Updated
Aug 4, 2020

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