Individual
MAYA GARLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4413 W MADISON AVENUE, CHICAGO, IL 60624
(708) 965-0667
Mailing address
6606 W NORTH AVE, CHICAGO, IL 60707-3906
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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