Individual
MS. TONYA LEE CARRIZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 SAINT ELIZABETH BLVD # CB8054, O FALLON, IL 62269-1099
(618) 234-2120
Mailing address
1 SAINT ELIZABETH BLVD # CB8054, O FALLON, IL 62269-1099
(618) 234-2120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2003017568
MO
367500000X
Certified Registered Nurse Anesthetist
209007478
IL
Other
Enumeration date
01/20/2009
Last updated
01/27/2023
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