Individual
TERESA BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6106
(928) 714-6401
(928) 714-6480
Mailing address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6106
(928) 714-6401
(928) 714-6480
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN-097883
AZ
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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