LORRAINE MICHELLE MATA

EL PASO, TX
NPI1619647393
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner Pediatrics
(Licence: TX  1039612)
Enumeration Date2021-09-15
Last Update Date2021-09-15
Business Address
MRS. LORRAINE MICHELLE MATA
1400 N EL PASO ST
EL PASO, TX 79902-3437
Phone number: 915-577-0445
Mailing Address
MRS. LORRAINE MICHELLE MATA
1400 N EL PASO ST STE E
EL PASO, TX 79902-3438
Phone number: 915-577-0445
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