Individual
THERESA L GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9740 E HAMPTON AVE APT 49, MESA, AZ 85209-8104
(602) 731-9965
Mailing address
9740 E HAMPTON AVE APT 49, MESA, AZ 85209-8104
(602) 731-9965
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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