MARY THERESA FANTAZIA

TEMPLE, TX
NPI1619704947
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TX  1170828)
Enumeration Date2024-09-19
Last Update Date2025-08-04
Business Address
MARY THERESA FANTAZIA DNP
2401 S 31ST ST
TEMPLE, TX 76508-5060
Phone number: 254-724-2111
Mailing Address
MARY THERESA FANTAZIA DNP
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 800-994-0371
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