Individual
TESS C CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2550 N THUNDERBIRD CIR, SUITE 303, MESA, AZ 85215-1214
(480) 289-7890
(480) 455-4940
Mailing address
4440 SHERIDAN ST, HOLLYWOOD, FL 33021-3535
(786) 564-1810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9103587
FL
Other
Enumeration date
11/01/2007
Last updated
04/08/2013
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