CARLOS FERNANDO MATA

KANSAS CITY, KS
NPI1679202840
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KS  43-557975-011)
Enumeration Date2022-06-06
Last Update Date2022-06-06
Business Address
Mr. CARLOS FERNANDO MATA
4000 CAMBRIDGE ST
KANSAS CITY, KS 66160-8501
Phone number: 913-588-1227
Mailing Address
Mr. CARLOS FERNANDO MATA
4537 CAMBRIDGE ST
KANSAS CITY, KS 66103-3522
Phone number: 816-572-3894
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