Mariela Ivon Mata
NPI #1316641988 in Pacoima, California
Provider Information
- NPI Number
- 1316641988
- Entity Type
- Individual
- Name
- Mariela Ivon Mata
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Speech-Language Assistant
- Enumeration Date
- Mar 28, 2023
- Last Updated
- Mar 28, 2023
Practice Location
- Address
- 13079 VAN NUYS BLVD
- City
- Pacoima
- State
- California
- ZIP Code
- 91331-2575
- Phone
- (818) 206-3353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Speech-Language Assistant — Speech-Language Assistant |
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