MEDICARE: MARALINA SERIO DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	8901	AZ

General Provider Information

NPI Number	:	1861110801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARALINA SERIO DC

Provider Business Mailing Address
First Line	:	6201 W OLIVE AVE APT 2111
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85302-4530
Country	:	US
Telephone Number	:	331-220-1193
Fax Number	:

Provider Business Practice Location Address
First Line	:	6201 W OLIVE AVE APT 2111
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85302-4530
Country	:	US
Telephone Number	:	331-220-1193
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2022
Last Update Date	:	08/16/2022

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Directions to “ MARALINA SERIO DC” Practice Location

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