Individual
UNDRE WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
567 W 11TH ST, FLORENCE, AZ 85132-9126
(480) 524-1798
Mailing address
PO BOX 5654, PHOENIX, AZ 85010-5654
(480) 524-1798
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP053491
AZ
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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