Individual
AMBER LYNN MAISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4540 E BASELINE RD STE 113, MESA, AZ 85206-4617
(480) 558-4700
Mailing address
1773 W MEAD PL, CHANDLER, AZ 85248-5434
(602) 570-0003
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7178
AZ
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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