GUADALUPE S MATA

SANTA ROSA, NM
NPI1700608775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  CNP-81461)
Enumeration Date2024-10-30
Last Update Date2024-10-30
Business Address
GUADALUPE S MATA CNP
117 CAMINO DE VIDA STE 300
SANTA ROSA, NM 88435-2267
Phone number: 575-472-4311
Mailing Address
GUADALUPE S MATA CNP
117 CAMINO DE VIDA STE 300
SANTA ROSA, NM 88435-2267
Phone number: 575-472-4311