Individual
TERI AMENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15002 N 32ND ST, PHOENIX, AZ 85032
(602) 449-2051
Mailing address
15002 N 32ND ST, PHOENIX, AZ 85032
(602) 449-2051
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN122026
AZ
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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