Individual
JOHN MAINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2128 ARBOR CREEK DR, CARROLLTON, TX 75010-4065
(940) 594-6144
Mailing address
2128 ARBOR CREEK DR, CARROLLTON, TX 75010-4065
(940) 594-6144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
849518
TX
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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