Individual
SORA UMLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(602) 943-2381
Mailing address
6234 W BEHREND DR APT 3118, GLENDALE, AZ 85308-6919
Taxonomy
Speciality
Code
Description
License number
State
246R00000X
Pathology Technician
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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