Doctor Name: | MS. CORALLEE ELIZABETH KOWALLIS |
NPI Number: | 1508046228 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA000246666 |
License Number: | MA00024666 |
Business Practice Address: | 128 178th Street Ct E Spanaway, WA - 983874629 |
Business Phone Number: | 2533761279 |
Business Fax Number: | |
Mailing Address: | 128 178th Street Ct E, SPANAWAY |
State: | WA |
Postal Code: | 983874629 |
Phone Number: | 2533761279 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2007 |
NPI Last Update Date: | 07/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 175L00000X |
License Number: | MA00024666 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Homeopath |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is educated and trained in a system of therapeutics in which diseases are treated by drugs which are capable of producing in healthy persons symptoms like those of the disease to be treated. Treatment requires administering a drug in minute doses. |