Individual
MISS TERESA PAYNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3001 W MATTHEW DR, PHOENIX, AZ 85027-2366
(623) 322-8454
Mailing address
3001 W MATTHEW DR, PHOENIX, AZ 85027-2366
(623) 322-8454
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
LP018637
AZ
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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