Individual
LARIBETH JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
374700000X
AZ
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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