Individual
KEVIN DEAN MAULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 E RAY RD STE 7, CHANDLER, AZ 85225-3376
(480) 433-0037
Mailing address
135 E RAY RD STE 7, CHANDLER, AZ 85225-3376
(480) 433-0037
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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