Individual
TABITHA WOOLPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22624 N 73RD DR, GLENDALE, AZ 85310-5661
(808) 292-5367
Mailing address
22624 N 73RD DR, GLENDALE, AZ 85310-5661
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
54184
AZ
Other
Enumeration date
03/24/2006
Last updated
05/01/2017
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