Imelda Miranda Mata
NPI #1134731268 in Chico, California
Provider Information
- NPI Number
- 1134731268
- Entity Type
- Individual
- Name
- Imelda Miranda Mata
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Aug 19, 2020
- Last Updated
- Aug 19, 2020
Practice Location
- Address
- 80 DECLARATION DR
- City
- Chico
- State
- California
- ZIP Code
- 95973-4900
- Phone
- (530) 894-6832
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