THERESA M LONGO

PHOENIX, AZ
NPI1649354267
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209000557)
Enumeration Date2006-10-24
Last Update Date2023-10-12
Business Address
Mrs. THERESA M LONGO C.N.P.
20950 N TATUM BLVD STE 250
PHOENIX, AZ 85050-4253
Phone number: 480-701-4660
Mailing Address
Mrs. THERESA M LONGO C.N.P.
PO BOX 734240
CHICAGO, IL 60673-4240
Phone number: 708-460-7890
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