Individual
STEPHANIE ALCARAZ-REZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9388 VALLEY VIEW DR NW, ALBUQUERQUE, NM 87114-4908
(505) 503-8806
Mailing address
130 KOONTZ RD, CORRALES, NM 87048-9002
(314) 517-5824
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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