TATIANA MATA

GRASS VALLEY, CA
NPI1134705635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2021-03-23
Last Update Date2021-03-23
Business Address
TATIANA MATA
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800
Mailing Address
TATIANA MATA
714 W MAIN ST
GRASS VALLEY, CA 95945-6410
Phone number: 530-477-9800