Compassionate Certification Centers Pllc

NPI #1124790977 in Surprise, Arizona

Provider Information

NPI Number: 1124790977
Entity Type: Organization
Organization Name: Compassionate Certification Centers Pllc
Primary Specialty: Allergy & Immunology
Enumeration Date: Sep 30, 2021
Last Updated: Sep 30, 2021

Practice Location

Address: 14628 N GIL BALCOME
City: Surprise
State: Arizona
ZIP Code: 85379-5400
Phone: (888) 316-9085

Authorized Official

Name: LAUREN LAU
Title: CREDENTIALING
Phone: (724) 989-4564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X
Internal Medicine	207R00000X
Allergy & Immunology	207K00000X	Primary

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