Individual
WENDY RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 W BERYL AVE, PHOENIX, AZ 85021-1641
(602) 599-5614
(602) 599-5845
Mailing address
202 E. EARLL DR., SUITE 200, PHOENIX, AZ 85012-2647
(602) 599-5404
(602) 599-5704
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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