KENNETH PAUL MATA

LOS ANGELES, CA
NPI1194310953
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: CA  87473)
Enumeration Date2021-03-03
Last Update Date2022-12-05
Business Address
KENNETH PAUL MATA
4867 W SUNSET BLVD
LOS ANGELES, CA 90027-5969
Phone number: 818-438-7279
Mailing Address
KENNETH PAUL MATA
8836 JACARANDA UNIT F
MONTCLAIR, CA 91763-1357
Phone number:
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