Individual
MS. STEPHANIE LEIGH GERDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
515 N MESA DR, MESA, AZ 85201-5914
(480) 223-4900
Mailing address
515 N MESA DR, MESA, AZ 85201-5914
(480) 223-4900
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2603
AZ
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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