Individual
MADDISON BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPM
Contact information
Practice address
8765 W KELTON LN UNIT B5E, PEORIA, AZ 85382-3584
(602) 616-5096
Mailing address
3753 E WETHERSFIELD RD, PHOENIX, AZ 85032-7380
(602) 616-5096
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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