Individual
MS. TERESA MESHAWN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3934 E JASPER DR, GILBERT, AZ 85296-8255
(773) 495-1515
Mailing address
3934 E JASPER DR, GILBERT, AZ 85296-8255
(773) 495-1515
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP054634
AZ
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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