Individual
NYLE MAISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(313) 522-2515
Mailing address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(313) 522-2515
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
49104
TN
2080P0208X
Pediatric Infectious Diseases Physician
Primary
A135708
CA
Other
Enumeration date
07/26/2009
Last updated
01/14/2025
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