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Individual

PATRICK MALTBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E3172772
172A00000X
Driver
172V00000X
Community Health Worker
174H00000X
Health Educator
175T00000X
Peer Specialist
2014-330-01
NC
374T00000X
Religious Nonmedical Nursing Personnel
374U00000X
Home Health Aide
376K00000X
Nurse's Aide
CNA314827
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/04/2015
Last updated
06/04/2015
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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