Individual
DIANE MAGGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6331 N 39TH AVE, PHOENIX, AZ 85019-1553
(602) 336-2626
Mailing address
4622 W POKEBERRY LN, PHOENIX, AZ 85083-1666
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP027145
AZ
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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