Individual
STEPHANIE DE REZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(000) 000-0000
Mailing address
103 W PATRICK ST, GILBERT, AZ 85233-8915
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
294227
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/10/2020
Last updated
07/13/2023
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