Laqueta R Maze

NPI #1144051525 in Fairborn, Ohio

Provider Information

NPI Number: 1144051525
Entity Type: Individual
Name: Laqueta R Maze
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Aug 8, 2024
Last Updated: Aug 8, 2024

Practice Location

Address: 1209 OAKHILL AVE
City: Fairborn
State: Ohio
ZIP Code: 45324-5636
Phone: (937) 212-3529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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