Individual
MAIZIE MARIE DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
167 N MAIN ST, TUBA CITY, AZ 86045-0600
(928) 283-2501
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2501
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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