Individual
THERESA SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20217 E CHANDLER HEIGHTS RD, QUEEN CREEK, AZ 85142-9521
(480) 655-6069
Mailing address
20918 E ORCHARD LN, QUEEN CREEK, AZ 85142-7002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
157968
AZ
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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