MR. Fernando U Mata, PAC

NPI #1063594117 in Lamont, California

Provider Information

NPI Number
1063594117
Entity Type
Individual
Name
MR. Fernando U Mata, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PAC
Enumeration Date
Oct 19, 2006
Last Updated
Sep 13, 2017

Practice Location

Address
10200 MAIN ST
City
Lamont
ZIP Code
93241-1700
Phone
(661) 845-1788

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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