Individual
TERESA ANN SUMPTER-SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 487-5189
(623) 487-5197
Mailing address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 487-5189
(623) 487-5197
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP012552
AZ
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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