Individual
MARIBEL WELLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16841 N 31ST AVE STE 130, PHOENIX, AZ 85053-3051
(602) 491-0703
Mailing address
16841 N 31ST AVE STE 130, PHOENIX, AZ 85053-3051
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10939
AZ
Other
Enumeration date
12/08/2023
Last updated
02/20/2025
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