Individual
MRS. MARIA MCLAREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
20249 N 67TH AVE, B, GLENDALE, AZ 85308-6843
(623) 362-2600
Mailing address
20249 N 67TH AVE, B, GLENDALE, AZ 85308-6843
(623) 362-2600
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
653I
AZ
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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