Individual
MS. ZENA BERRY ALAZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7820
Mailing address
411 WOODCREST DR, DEARBORN, MI 48124-1140
(313) 561-6611
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704161451
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104345910
—
MI
01
—
ZA161451
BLUE CROSS OF MI
MI
Enumeration date
08/14/2006
Last updated
07/08/2007
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