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Individual

STEPHANIE TEJADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2540 EAST ST, CONCORD, CA 94520-1906
(925) 682-8200
Mailing address
1748 MINTWOOD DR, CONCORD, CA 94521-2152
(415) 205-0992

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95027035
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
253586
AZ

Other

Enumeration date
10/24/2020
Last updated
03/03/2021
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