Individual
LIBBY THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 E PINE KNOLL DR, FLAGSTAFF, AZ 86011-0001
(928) 523-5122
Mailing address
813 W UNIVERSITY AVE APT 209, FLAGSTAFF, AZ 86001-7106
(970) 379-4065
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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