Individual
MS. TAMMY ANN MONNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 N LAZY FOX DR, WICKENBURG, AZ 85390-1270
(928) 231-5011
Mailing address
130 N LAZY FOX DR, WICKENBURG, AZ 85390-1270
(928) 231-5011
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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