Individual
MRS. THERESA IRENE ALDAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
5127 W CHOLLA ST, GLENDALE, AZ 85304-3410
(623) 412-3425
(623) 776-9954
Mailing address
PO BOX 6565, GLENDALE, AZ 85312-6565
(623) 412-3425
(623) 776-9954
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN029258
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163WR0006X
REGISTERED NURSE FIRST AS
AZ
Enumeration date
10/23/2006
Last updated
07/08/2007
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