ROBERT MICHAEL MATTA

LAKEWOOD, WA
NPI1043002660
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WA  LP61584281)
Enumeration Date2025-05-20
Last Update Date2025-05-20
Business Address
ROBERT MICHAEL MATTA
9720 S TACOMA WAY
LAKEWOOD, WA 98499-4456
Phone number: 253-604-7422
Mailing Address
ROBERT MICHAEL MATTA
PO BOX 39680
LAKEWOOD, WA 98496-3680
Phone number: 253-604-7422