Individual
CARLOS MARIO CORELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RMA
Contact information
Practice address
914 DEFOREST AVE, IOWA CITY, IA 52240-2140
(319) 621-3095
(844) 883-6979
Mailing address
914 DEFOREST AVE, IOWA CITY, IA 52240-2140
(319) 621-3095
(844) 883-6979
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
190586
IA
Other
Enumeration date
05/02/2021
Last updated
05/23/2021
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