Mariam Matta
NPI #1194209114 in Antioch, California
Provider Information
- NPI Number
- 1194209114
- Entity Type
- Individual
- Name
- Mariam Matta
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Sep 17, 2018
- Last Updated
- Sep 17, 2018
Practice Location
- Address
- 3416 DEER VALLEY RD
- City
- Antioch
- State
- California
- ZIP Code
- 94531-6650
- Phone
- (925) 978-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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