Individual
BARBARA MAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
448 W NAVARRO AVE, MESA, AZ 85210-7400
(480) 540-2636
Mailing address
448 W NAVARRO AVE, MESA, AZ 85210-7400
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP051152
AZ
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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