Individual
STEPHANI DAWN DE AZEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 E HAVASU FALLS ST, MERIDIAN, ID 83646-6412
(801) 971-0286
Mailing address
355 E HAVASU FALLS ST, MERIDIAN, ID 83646-6412
(801) 971-0286
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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