FERNANDO RINCON MATA

SALEM, OR
NPI1750872446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-05-29
Last Update Date2018-05-29
Business Address
FERNANDO RINCON MATA
3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305-1319
Phone number: 503-361-2724
Mailing Address
FERNANDO RINCON MATA
3876 BEVERLY AVE NE BLDG G
SALEM, OR 97305-1319
Phone number: 503-361-2724