| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ELENI GORLA | 1043972755 | 2021-10-10 |
Eleni Gorla is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1043972755. Registration indicates Eleni Gorla is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Eleni Gorla |
| Practice Office Address | 3655 E GRANT RD TUCSON, AZ US |
| Practice Office Telephone | 5206703909 |
| Mailing Address | 3655 E GRANT RD TUCSON, AZ 857162933 US |
| Business Telephone | 5189446530 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | 222008
AZ |