JOANNE MATA

FRESNO, CA
NPI1649690991
Former NameJOANNE BLUNT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT35103)
Enumeration Date2014-04-24
Last Update Date2014-04-24
Business Address
-- JOANNE MATA LPT
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-600-7180
Mailing Address
-- JOANNE MATA LPT
8688 N CEDAR AVE APT 102
FRESNO, CA 93720-4826
Phone number: 559-600-7180
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