Provider Demographics
NPI:1558440289
Name:WEBB, LEILA MARIA (CST)
Entity Type:Individual
Prefix:MS
First Name:LEILA
Middle Name:MARIA
Last Name:WEBB
Suffix:
Gender:F
Credentials:CST
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7776 S POINTE PKWY W STE 135
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-5402
Mailing Address - Country:US
Mailing Address - Phone:602-431-9585
Mailing Address - Fax:602-431-1677
Practice Address - Street 1:7776 S POINTE PKWY W STE 135
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-5402
Practice Address - Country:US
Practice Address - Phone:602-431-9585
Practice Address - Fax:602-431-1677
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist