Individual
ELIZABETH MAINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4825 WORTHING DR, GARLAND, TX 75043-7636
(972) 697-8047
Mailing address
4825 WORTHING DR, GARLAND, TX 75043-7636
(972) 697-8047
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
313420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801242565
—
TX
Enumeration date
05/12/2016
Last updated
05/12/2016
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