Individual
VIRGINIA TENA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 810-4453
Mailing address
5603 W PIERSON ST, PHOENIX, AZ 85031-1029
(602) 810-4453
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
281879
AZ
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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