ELLEN L MATTA

MESA, AZ
NPI1497772115
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ  CRNA0158)
Enumeration Date2006-07-17
Last Update Date2017-04-05
Business Address
-- ELLEN L MATTA CRNA
2610 E UNIVERSITY DR
MESA, AZ 85213-8436
Phone number: 480-892-8400
Mailing Address
-- ELLEN L MATTA CRNA
2610 E UNIVERSITY DR
MESA, AZ 85213-8436
Phone number: 480-892-8400
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