THERESA LOUISE MORTENSEN

SANTA ROSA, CA
NPI1972683753
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  402482)
Enumeration Date2006-10-16
Last Update Date2021-11-08
Business Address
THERESA LOUISE MORTENSEN N.P.
3555 ROUND BARN CIR
SANTA ROSA, CA 95403-1757
Phone number: 707-528-1050
Mailing Address
THERESA LOUISE MORTENSEN N.P.
3555 ROUND BARN CIR
SANTA ROSA, CA 95403-1757
Phone number: 707-528-1050
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