Robert Michael Matta

NPI #1043002660 in Lakewood, Washington

Provider Information

NPI Number
1043002660
Entity Type
Individual
Name
Robert Michael Matta
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 20, 2025
Last Updated
May 20, 2025

Practice Location

Address
9720 S TACOMA WAY
ZIP Code
98499-4456
Phone
(253) 604-7422

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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