Provider Demographics
NPI:1093089997
Name:CORTEZ, STERIE LEE REIKO
Entity Type:Individual
Prefix:MRS
First Name:STERIE LEE
Middle Name:REIKO
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2613 LAKE MARTIN CT
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-4362
Mailing Address - Country:US
Mailing Address - Phone:702-824-5559
Mailing Address - Fax:
Practice Address - Street 1:2613 LAKE MARTIN CT
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-4362
Practice Address - Country:US
Practice Address - Phone:702-824-5559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program