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Individual

CHANTAL MARIE UMUTONI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4838 E. BASELINE ROAD, SUITE 108, MESA, AZ 85206-4672
(480) 981-2400
(480) 981-2407
Mailing address
4838 E. BASELINE ROAD, SUITE 108, MESA, AZ 85206-4672
(480) 981-2400
(480) 981-2407

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
101721
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1224
AZ
367500000X
Certified Registered Nurse Anesthetist
D170283
IA

Other

Enumeration date
07/19/2016
Last updated
10/10/2024
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