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Bryan Cabconce Coronel, NP
Family Nurse Practitioner in Manteca, California
NPI 1710510326

Bryan Cabconce Coronel is a Family Nurse Practitioner based in Stockton, CA and is specialized in Family. Bryan Cabconce Coronel practices in Manteca, CA and has the professional credentials of NP. The NPI Number for Bryan Cabconce Coronel is 1710510326 and holds a License No. 794627 (California).

The current practice location address for Bryan Cabconce Coronel is 1341 Historical Plaza Way, Manteca, CA and can be reached out via phone at 209-824-1893.

Location: 1341 Historical Plaza Way, Manteca, CA, 95210-3149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710510326
Provider Name
Bryan Cabconce Coronel
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1341 Historical Plaza Way, Manteca, CA, 95210-3149
Phone Number
209-824-1893
Fax Number
Provider Enumeration Date
02/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1341 Historical Plaza Way
City
Manteca
State
California
Zip
95336-5064
Phone Number
209-824-1893
Fax Number
person
Provider Business Mailing Address Details
Address
1341 Historical Plaza Way
City
Manteca
State
California
Zip
95336-5064
Phone Number
209-824-1893
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
794627 (California)
Definition
Definition to come...
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