Individual
JERRY MARONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
737 E WHITE MOUNTAIN BLVD, SUITE 5, PHOENIX, AZ 85935-7002
(602) 326-1828
Mailing address
737 E WHITE MOUNTAIN BLVD, SUITE 5, PHOENIX, AZ 85935-7002
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHW0000000751
AZ
Other
Enumeration date
11/28/2025
Last updated
11/28/2025
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