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Individual

STEPHANIE MARIE CELIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
21520 E NIGHTINGALE CT, QUEEN CREEK, AZ 85142-3305
(480) 203-1136
Mailing address
21520 E NIGHTINGALE CT, QUEEN CREEK, AZ 85142-3305
(480) 203-1136

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN164764
AZ
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-303345
AZ

Other

Enumeration date
07/29/2021
Last updated
07/29/2021
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