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Mrs. Teri Dawn Port
Student in an Organized Health Care Education/Training Program in Parker, Arizona
NPI 1801036892

Teri Dawn Port is a Student in an Organized Health Care Education/Training Program based in Parker, AZ. Teri Dawn Port practices in Parker, AZ. The NPI Number for Teri Dawn Port is 1801036892 and holds a License No. (Arizona).

The current practice location address for Teri Dawn Port is 12033 Agency Rd, Parker, AZ and can be reached out via phone at 928-669-2137.

Location: 12033 Agency Rd, Parker, AZ, 85344-7718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801036892
Provider Name
Teri Dawn Port
Credential
Provider Entity Type
Individual
Gender
Female
Address
12033 Agency Rd, Parker, AZ, 85344-7718
Phone Number
928-669-2137
Fax Number
Provider Enumeration Date
03/03/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12033 Agency Rd
City
Parker
State
Arizona
Zip
85344-7718
Phone Number
928-669-2137
Fax Number
person
Provider Business Mailing Address Details
Address
12033 Agency Rd
City
Parker
State
Arizona
Zip
85344-7718
Phone Number
928-669-2137
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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