Individual
TERESA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4822 W NEW WORLD DR, GLENDALE, AZ 85302-5138
(623) 231-1613
Mailing address
4822 W NEW WORLD DR, GLENDALE, AZ 85302-5138
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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