Susana Matala

NPI #1013508118 in Mansfield, Texas

Provider Information

NPI Number
1013508118
Entity Type
Individual
Name
Susana Matala
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Vocational Nurse
Enumeration Date
Feb 1, 2021
Last Updated
Feb 1, 2021

Practice Location

Address
4800 SAN REMO DR
State
Texas
ZIP Code
76063-8642
Phone
(813) 263-8943

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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