Individual
JOHN A MAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
25201 E. 78 HWY, BUILDING #5 MEDICAL, INDEPENDENCE, MO 64056
(816) 695-4541
Mailing address
507 STACEY DR, BELTON, MO 64012-1832
(816) 352-6190
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
133500
MO
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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