Individual
TERESA MARIE LOYOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9040 W CAMPBELL AVE, PHOENIX, AZ 85037-1408
(623) 772-2709
Mailing address
9005 W MULBERRY DR, PHOENIX, AZ 85037-2945
(602) 573-0435
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP044800
AZ
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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