Individual
WAKANA MAETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT, LAT, ATC
Contact information
Practice address
730 S BECK AVE, TEMPE, AZ 85281-3338
(209) 285-8230
Mailing address
730 S BECK AVE, TEMPE, AZ 85281-3338
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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