EMMANUEL MATA

LOS ANGELES, CA
NPI1063851582
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: CA  1086055)
Enumeration Date2013-06-18
Last Update Date2013-06-18
Business Address
-- EMMANUEL MATA RD
924 S MARIPOSA AVE APT 2
LOS ANGELES, CA 90006-1425
Phone number: 213-239-3035
Mailing Address
-- EMMANUEL MATA RD
924 S MARIPOSA AVE APT 2
LOS ANGELES, CA 90006-1425
Phone number: 213-239-3035
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