Individual
MICHELLE WEATHERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHWAY 95 STE 200, BULLHEAD CITY, AZ 86429-5005
(928) 754-3950
Mailing address
4053 N LAGUNA RD, GOLDEN VALLEY, AZ 86413-8947
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
003326
AZ
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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