Individual
TEQUILLA MARIE SPREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12170 W JOBLANCA RD, AVONDALE, AZ 85323-8179
(414) 324-0220
Mailing address
12170 W JOBLANCA RD, AVONDALE, AZ 85323-8179
(414) 324-0220
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
99614
AZ
Other
Enumeration date
06/29/2021
Last updated
06/30/2021
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