Individual
MAHEALANI WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1870 E OASIS DR, TEMPE, AZ 85283-4261
(480) 703-1481
Mailing address
1870 E OASIS DR, TEMPE, AZ 85283-4261
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP8910
AZ
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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