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Theresia Fomeche

NPI 1750145199 · on the registry since 2024 · sole proprietor

Practice

Address
11003 N 59th Dr
Glendale, AZ 85304
Phone
(520) 991-6380

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
374U00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona