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Tera Thoreson
NPI 1881166502 · on the registry since 2018
Practice
- Address
- 2682 Santa Ana Ave Apt 4
Costa Mesa, CA 92627 - Phone
- (949) 579-0424
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-19
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 California