Individual
ELSA E. TESFASION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9003 W CHARLESTON AVE, PEORIA, AZ 85382-8106
(623) 444-7140
(623) 444-7140
Mailing address
9003 W CHARLESTON AVE, PEORIA, AZ 85382-8106
(623) 444-7140
(623) 444-7140
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
AL8568H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
863798
—
AZ
Enumeration date
07/07/2015
Last updated
07/10/2015
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