Individual
MARITESS TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
12422 N 88TH DR, PEORIA, AZ 85381-8172
(623) 200-9675
(623) 979-5187
Mailing address
12422 N 88TH DR, PEORIA, AZ 85381-8172
(623) 200-9675
(623) 979-5187
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12278H
AZ
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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