Individual
TERRICITA UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1298 E AVENIDA ISABELA, CASA GRANDE, AZ 85122-1020
(775) 303-0877
Mailing address
1298 E AVENIDA ISABELA, CASA GRANDE, AZ 85122-1020
(775) 303-0877
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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