Provider Demographics
NPI:1841019155
Name:WESEMAN, THERESE MARIE (REGISTERED NURSE)
Entity type:Individual
Prefix:MS
First Name:THERESE
Middle Name:MARIE
Last Name:WESEMAN
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Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
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Mailing Address - Street 1:58227 SUNNY SANDS DR
Mailing Address - Street 2:
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-1137
Mailing Address - Country:US
Mailing Address - Phone:760-830-2822
Mailing Address - Fax:760-830-2882
Practice Address - Street 1:1145 STURGIS RD
Practice Address - Street 2:
Practice Address - City:TWENTYNINE PALMS
Practice Address - State:CA
Practice Address - Zip Code:92278
Practice Address - Country:US
Practice Address - Phone:760-830-2822
Practice Address - Fax:760-830-2882
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA397173163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management