Individual
TERESA ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8266 N CONVERSE CT, TUCSON, AZ 85741-1179
(520) 721-1887
Mailing address
8266 N CONVERSE CT, TUCSON, AZ 85741-1179
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
10854
AZ
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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