Individual
TESS LORRAINE COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6644 E BAYWOOD AVE, MESA, AZ 85206-1747
(480) 307-7009
Mailing address
3053 E FRANKLIN AVE, GILBERT, AZ 85295-9090
(480) 307-7009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5951
AZ
Other
Enumeration date
08/07/2014
Last updated
03/01/2021
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