| NPI | 1821379082 |
|---|---|
| Doing Business As | CORAL |
| Entity Type | Organization |
| Authorized Contact | NATALIE CHANTALL FOGELSON Owner/Medical Director 480-614-5461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 5298) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2023-04-10 |