Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | 35.07711 | OH |
Y | 2080P0214X | Pediatric Pulmonologist | 36267 | AZ |
NPI | 1285715417 |
---|---|
Provider Name | Mrs. Cori L Daines |
First Address | Tucson, AZ 85756-7124 |
Second Address | Tucson, AZ 85711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 29/05/2013 |