Individual
KYLA TESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ABOC, NCLEC, LDO
Contact information
Practice address
12900 W THUNDERBIRD RD, EL MIRAGE, AZ 85335-5945
(623) 583-8920
(623) 583-8979
Mailing address
12900 W THUNDERBIRD RD, EL MIRAGE, AZ 85335-5945
(623) 583-8920
(623) 583-8979
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO-003235
AZ
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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