Individual
MARIA MALETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14235 N 28TH ST, PHOENIX, AZ 85032-5040
(602) 923-8428
(602) 923-8428
Mailing address
14235 N 28TH ST, PHOENIX, AZ 85032-5040
(602) 923-8428
(602) 923-8428
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH5110
AZDHS
AZ
Enumeration date
10/28/2022
Last updated
10/28/2022
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