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Individual

MS. TERESA SOCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5555
Mailing address
2954 E LARKSPUR DR, PHOENIX, AZ 85032-7152
(480) 330-5996

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
236354
AZ
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
236354
AZ

Other

Enumeration date
01/10/2020
Last updated
01/10/2020
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