Individual
DR. DEBRA CLISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6900 GEORGIA AVE NW, WASHINGTON, DC 20307-0003
(202) 782-7748
(202) 782-7748
Mailing address
804 AMBER TREE CT APT 302, GAITHERSBURG, MD 20878-5206
(301) 948-3077
(301) 948-3077
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R123183
MD
Other
Enumeration date
11/08/2005
Last updated
07/08/2007
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