Individual
MARAL MARIAM EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1271 E DESERT SPRINGS WAY, SAN TAN VALLEY, AZ 85143-6167
(702) 305-1105
Mailing address
1271 E DESERT SPRINGS WAY, SAN TAN VALLEY, AZ 85143-6167
(702) 305-1105
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/17/2018
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