Individual provider · Type 1 NPI
Momilani Deann Coronel, STASSISTANT
Speech-Language Assistant · Grand Prairie, TX
NPI number
1104326255
Active
Practice location
1613 Wilderness Trl
Grand Prairie, TX 75052-2028
Mailing address
PO Box 177545
Irving, TX 75017-7545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 38921 (TX) |
Speech-Language Assistant: Definition to come...
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About NPI 1104326255
Momilani Deann Coronel, STASSISTANT's National Provider Identifier is 1104326255, issued on Feb 15, 2018. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Grand Prairie, TX. The record was last updated on Feb 15, 2018.