Individual
TYRENE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4103 W READE AVE, PHOENIX, AZ 85019-2881
(602) 770-4994
Mailing address
4103 W READE AVE, PHOENIX, AZ 85019-2881
(602) 770-4994
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
AZ
Other
Enumeration date
08/21/2021
Last updated
09/28/2021
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