ERICKSON MATA

SAN ANTONIO, TX
NPI1467953281
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: TX  189977)
Enumeration Date2018-02-27
Last Update Date2018-02-27
Business Address
ERICKSON MATA
3201 CHERRY RIDGE ST STE 400
SAN ANTONIO, TX 78230-4820
Phone number: 210-692-0222
Mailing Address
ERICKSON MATA
11710 PARLIAMENT ST APT 706
SAN ANTONIO, TX 78213-1167
Phone number:
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