Individual
GIOVANNI MAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1904 RICHLAND AVE, SUITE A, CERES, CA 95307-4562
(209) 303-8800
Mailing address
1601 WESTRIDGE PL, MODESTO, CA 95358-1082
(209) 480-8251
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
737100
CA
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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