Provider Demographics
NPI:1457247009
Name:CORONA, YESSICA CRYSTEL
Entity type:Individual
Prefix:
First Name:YESSICA
Middle Name:CRYSTEL
Last Name:CORONA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 WILSON HWY UNIT 116
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98930-1070
Mailing Address - Country:US
Mailing Address - Phone:509-391-8689
Mailing Address - Fax:
Practice Address - Street 1:300 WILSON HWY UNIT 116
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:WA
Practice Address - Zip Code:98930-1070
Practice Address - Country:US
Practice Address - Phone:509-391-8689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter