Individual
AMAYA ELIZABETH WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4264
(623) 876-8816
Mailing address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4264
(623) 876-8816
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10664
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/08/2023
Last updated
09/23/2024
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