Individual
FELICIA MAIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5940 W VILLA THERESA DR, GLENDALE, AZ 85308-0704
(312) 478-6829
Mailing address
5940 W VILLA THERESA DR, GLENDALE, AZ 85308-0704
(312) 478-6829
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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