MARIAM MATTA

ANTIOCH, CA
NPI1194209114
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  RPH78597)
Enumeration Date2018-09-17
Last Update Date2018-09-17
Business Address
MARIAM MATTA
3416 DEER VALLEY RD
ANTIOCH, CA 94531-6650
Phone number: 925-978-8000
Mailing Address
MARIAM MATTA
200 WILMOT RD
DEERFIELD, IL 60015-4620
Phone number: 847-315-2500