AMANDA MATA

SOUTHGATE, MI
NPI1376008557
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: MI  4704319275)
Enumeration Date2019-02-01
Last Update Date2019-02-01
Business Address
AMANDA MATA RN
13305 REECK CT
SOUTHGATE, MI 48195-3197
Phone number: 734-225-2090
Mailing Address
AMANDA MATA RN
6549 TOWN CENTER DR STE A
CLARKSTON, MI 48346-4824
Phone number: 248-620-6400
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