THERESIA FOMECHE
Individual Provider (NPI-1)
Active
Registered Nurse
Provider Information
- NPI Number
1750145199- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 11003 N 59TH DR, GLENDALE, AZ, 853043744
- Phone
- (520) 991-6380
Specialties & Taxonomies
Home Health Aide
Registered Nurse
Primary License: AZ #RN176402