IMELDA MIRANDA MATA

CHICO, CA
NPI1134731268
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  56624)
Enumeration Date2020-08-19
Last Update Date2020-08-19
Business Address
IMELDA MIRANDA MATA
80 DECLARATION DR
CHICO, CA 95973-4900
Phone number: 530-894-6832
Mailing Address
IMELDA MIRANDA MATA
4944 WILL T RD
CHICO, CA 95973-9411
Phone number: 530-521-0291
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