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Stephani De Azevedo

NPI 1407605553 · on the registry since 2024 · sole proprietor

Practice

Address
355 E Havasu Falls St
Meridian, ID 83646
Phone
(801) 971-0286

Registry record

Primary taxonomy
374J00000X
374J00000X
Sex
Female
Record last updated
2024-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho