Individual
MRS. GWENDOLYN TERRAZAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1896 E BABBITT LN, SAN LUIS, AZ 85349
(928) 722-6112
(928) 722-6113
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 662-0406
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP11567
AZ
Other
Enumeration date
08/08/2018
Last updated
08/13/2024
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