Individual
MRS. CHERYL LYNN WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1871 GATES AVE, KINGMAN, AZ 86401-4017
(925) 753-3332
(928) 753-2662
Mailing address
1871 GATES AVE, KINGMAN, AZ 86401-4017
(925) 753-3332
(928) 753-2662
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN049098
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431817
AHCCCS
AZ
Enumeration date
12/28/2005
Last updated
07/09/2007
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