Individual
JOSHUA MAINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
18109 W ILLINI ST, GOODYEAR, AZ 85338-7520
(623) 800-3722
Mailing address
18109 W ILLINI ST, GOODYEAR, AZ 85338-7520
(623) 800-3722
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
AZ
Other
Enumeration date
07/06/2024
Last updated
07/06/2024
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