Individual
MRS. TERESA HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
220 W KORTSEN RD, CASA GRANDE, AZ 85122-5910
(520) 836-2111
Mailing address
220 W KORTSEN RD, CASA GRANDE, AZ 85122-5910
(520) 836-2111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
AZ
Other
Enumeration date
09/09/2010
Last updated
07/21/2022
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