Individual
ALVA LETICIA CORELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
32 BOULEVARD DEL REY DAVID, NOGALES, AZ 85621-9667
(520) 394-7400
Mailing address
834 E COTTONWOOD CANYON PL, SAHUARITA, AZ 85629-7924
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP039312
AZ
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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