MICHELLE H MATA

JEFFERSON, LA
NPI1245868033
Former NameMICHELLE T HELLMERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  213764)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-29
Last Update Date2020-09-10
Business Address
MICHELLE H MATA CRNA
1514 JEFFERSON HWY
JEFFERSON, LA 70121-2429
Phone number: 866-624-7637
Mailing Address
MICHELLE H MATA CRNA
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121-2429
Phone number: 504-842-3755