Coral Connor, CCC-SLP | |
300 Crescent Dr Apt 251, Vacaville, CA 95688-8894 | |
(916) 236-7898 | |
Not Available |
Full Name | Coral Connor |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 300 Crescent Dr Apt 251, Vacaville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861065377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 29996 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Coral Connor, CCC-SLP 300 Crescent Dr Apt 251, Vacaville, CA 95688-8894 Ph: (916) 236-7898 | Coral Connor, CCC-SLP 300 Crescent Dr Apt 251, Vacaville, CA 95688-8894 Ph: (916) 236-7898 |
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Nicole K Gregg, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3000 Alamo Dr Ste 209, Vacaville, CA 95687 Phone: 707-372-5686 | |
Gloria Del Rio, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 237 Riverdale Ave, Vacaville, CA 95687 Phone: 707-416-1325 | |
Anna Mah, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3333 Vaca Valley Pkwy Ste 900, Vacaville, CA 95688 Phone: 707-474-9949 | |
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