Individual
DR. MARIA STEPHANIE R. JARDELEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4414 LAKE BOONE TRL STE 302, RALEIGH, NC 27607-7514
(919) 782-8038
(919) 782-8189
Mailing address
4414 LAKE BOONE TRL STE 302, RALEIGH, NC 27607-7514
(919) 782-8038
(919) 782-8189
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2023-02971
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
2023-02971
NC
Other
Enumeration date
05/28/2008
Last updated
02/02/2024
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