Individual
MRS. TORA J GERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
36375 N GANTZEL RD, SAN TAN VALLEY, AZ 85140-7333
(602) 689-8772
Mailing address
36375 N GANTZEL RD, SAN TAN VALLEY, AZ 85140-7333
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
226417
AZ
Other
Enumeration date
05/16/2007
Last updated
03/13/2024
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