JOE MATA

URBANA, IL
NPI1447769591
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies347E00000X Transportation Broker
Enumeration Date2017-09-20
Last Update Date2022-07-21
Business Address
JOE MATA
606 OAKLAND AVE APT 212
URBANA, IL 61802
Phone number: 312-962-9538
Mailing Address
JOE MATA
606 OAKLAND AVE APT 212
URBANA, IL 61802-2062
Phone number: 312-962-9538
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