Individual
TERESA CORLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1310 S LOS ALTOS DR, CHANDLER, AZ 85286-6127
(602) 370-9208
Mailing address
1310 S LOS ALTOS DR, CHANDLER, AZ 85286-6127
(602) 370-9208
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
0034A
AZ
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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