Bertha Alicia Mata

NPI #1477887594 in Canutillo, Texas

Provider Information

NPI Number
1477887594
Entity Type
Individual
Name
Bertha Alicia Mata
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Management
Enumeration Date
Sep 22, 2009
Last Updated
Sep 22, 2009

Practice Location

Address
8710 JOPLIN DR
State
Texas
ZIP Code
79835-9644
Phone
(915) 355-8965

Specialties & Taxonomy Codes

Specialty
Case Management

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