Individual
TERESA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42806 N 20 ST, PHOENIX, AZ 85087
(623) 465-7005
Mailing address
42806 N 20 ST, PHOENIX, AZ 85087
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3006
AZ
Other
Enumeration date
07/11/2019
Last updated
07/19/2019
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