MATTHEW MAIA

PASCAGOULA, MS
NPI1164110995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
(Licence: VA  010128359)
Enumeration Date2023-04-28
Last Update Date2024-08-22
Business Address
MATTHEW MAIA
1000 ACCESS RD # 4
PASCAGOULA, MS 39567-4485
Phone number: 228-935-3252
Mailing Address
MATTHEW MAIA
14801 LEMOYNE BLVD APT 359
BILOXI, MS 39532-7035
Phone number: 228-935-3252