DAIVA MATTIS

BRONX, NY
NPI1598151136
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IL  036.153139)
Additional Taxonomies207ZD0900X Pathology, Dermatopathology
(Licence: GA  103343)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: GA  103343)
Enumeration Date2015-04-10
Last Update Date2026-02-26
Business Address
DAIVA MATTIS
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 510-872-2029
Mailing Address
DAIVA MATTIS
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 510-872-2029