MRS. Michelle Anne Matyseck, PA

NPI #1093115941 in Montclair, California

Provider Information

NPI Number: 1093115941
Entity Type: Individual
Name: MRS. Michelle Anne Matyseck, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 28, 2014
Last Updated: Sep 5, 2014

Practice Location

Address: 8891 CENTRAL AVE
City: Montclair
State: California
ZIP Code: 91763-1618
Phone: (909) 297-3361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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