WILBEN ANDY LARIVIERE

MESA, AZ
NPI1154076933
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: PR  1212-P.A.)
Enumeration Date2022-02-19
Last Update Date2023-03-03
Business Address
WILBEN ANDY LARIVIERE PA
2045 S VINEYARD STE 119
MESA, AZ 85210-6890
Phone number: 480-300-4646
Mailing Address
WILBEN ANDY LARIVIERE PA
2045 S VINEYARD STE 119
MESA, AZ 85210-6890
Phone number: 480-300-4646
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