Individual
MA THERSEA R GALSIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9031 E PLATA AVE, MESA, AZ 85212-2821
(480) 392-0438
Mailing address
9031 E PLATA AVE, MESA, AZ 85212-2821
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL11050H
AZ
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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