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Individual
TERESA M THAIS
Active
Individual
TERESA M THAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
523371
CA
363LF0000X
Family Nurse Practitioner
Primary
16954
CA
Other
Enumeration date
05/08/2007
Last updated
06/16/2016
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