Individual
TEREZA MAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
701 SCOFIELD AVE, WASCO, CA 93280-7515
(661) 758-8400
Mailing address
2001 E 4TH ST STE 200205, SANTA ANA, CA 92705-3916
(714) 824-8140
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95062639
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95006015
CA
Other
Enumeration date
10/03/2014
Last updated
09/04/2019
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