JACQUELINE DIANE MATIAS

MELVILLE, NY
NPI1174921951
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
Enumeration Date2014-12-10
Last Update Date2014-12-10
Business Address
Mrs. JACQUELINE DIANE MATIAS
538 BROADHOLLOW RD STE 202
MELVILLE, NY 11747-3668
Phone number: 631-385-7780
Mailing Address
Mrs. JACQUELINE DIANE MATIAS
15 SOUNDVIEW DR
SHOREHAM, NY 11786-1101
Phone number: 631-849-1664