Individual
MATTHEW MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15351 W BELL RD, SURPRISE, AZ 85374-4580
(877) 809-5092
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(623) 583-3001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86295483
AZ
Other
Enumeration date
03/16/2023
Last updated
11/21/2023
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