MICHELLE RENEA MATA

SANTEE, CA
NPI1932807112
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95024337)
Enumeration Date2023-02-17
Last Update Date2023-02-17
Business Address
Mrs. MICHELLE RENEA MATA FNP-BC
10109 ASHDALE LN
SANTEE, CA 92071-1635
Phone number: 619-560-3454
Mailing Address
Mrs. MICHELLE RENEA MATA FNP-BC
10109 ASHDALE LN
SANTEE, CA 92071-1635
Phone number: 619-560-3454
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