JORGE MATTA

BRONX, NY
NPI1881221752
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-23
Last Update Date2020-03-23
Business Address
JORGE MATTA
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-9892
Mailing Address
JORGE MATTA
111 E 210TH ST
BRONX, NY 10467-2401
Phone number:
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