| NPI | 1013376151 |
|---|---|
| Doing Business As | COREBELLA ALLERGY & DIAGNOSTICS |
| Entity Type | Organization |
| Authorized Contact | JONNA ELAINE DEMORE Owner 623-242-0346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: AZ 4476) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 4476) |
| 208D00000X General Practice (Licence: AZ 4476) | |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |