Individual
MR. MICHAEL MAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1174 24TH ST, APT 4, OGDEN, UT 84401-2763
(435) 225-3526
Mailing address
1174 24TH STREET, APT 4, OGDEN, UT 84401
(435) 225-3526
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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