THERESA E FARDELOS

PHOENIX, AZ
NPI1578675047
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: AZ  091351)
Enumeration Date2006-08-31
Last Update Date2012-04-23
Business Address
THERESA E FARDELOS CNM
500 W THOMAS RD SUITE 730
PHOENIX, AZ 85013-4224
Phone number: 602-406-4628
Mailing Address
THERESA E FARDELOS CNM
FILE 56765
LOS ANGELES, CA 90074-6765
Phone number: 602-406-3860
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