JOSE MATA

MONROE, WA
NPI1346227170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD00046741)
Enumeration Date2005-12-22
Last Update Date2025-11-17
Business Address
JOSE MATA
14841 179TH AVE SE STE 210
MONROE, WA 98272-1127
Phone number: 360-217-1155
Mailing Address
JOSE MATA
14841 179TH AVE SE STE 210
MONROE, WA 98272-1127
Phone number: 360-217-1155
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