Individual
MAYA C WEINTRAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 GOULD AVE, MALDEN, MA 02148-6913
(818) 564-8201
Mailing address
16 GOULD AVE, MALDEN, MA 02148-6913
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17988
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/23/2023
Last updated
12/16/2024
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