Individual
JULIE ANN TY MAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
188 E JEFFERSON ST APT 507, PHOENIX, AZ 85004-2896
(619) 761-4845
Mailing address
188 E JEFFERSON ST APT 507, PHOENIX, AZ 85004-2896
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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