NPI | 1992997217 |
---|---|
Professional Name | MARY JEFFERVESCENT MATINING CAPARAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA17154) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ PA3454) |
Enumeration Date | 2007-08-10 |
Last Update Date | 2022-12-06 |