MINA MATTA

VICTORVILLE, CA
NPI1154897999
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2018-10-19
Last Update Date2024-07-18
Business Address
MINA MATTA PROVIDER
16333 GREEN TREE BLVD UNIT 3364
VICTORVILLE, CA 92393-7135
Phone number: 760-930-1112
Mailing Address
MINA MATTA PROVIDER
16333 GREEN TREE BLVD UNIT 3364
VICTORVILLE, CA 92393-7135
Phone number: