Shantal Mata

NPI #1508654450 in Fountain, Colorado

Provider Information

NPI Number: 1508654450
Entity Type: Individual
Name: Shantal Mata
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Interpreter
Enumeration Date: Apr 29, 2025
Last Updated: Apr 29, 2025

Practice Location

Address: 2385 CONLEY BLVD
City: Fountain
State: Colorado
ZIP Code: 80817-1509
Phone: (719) 243-7866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Interpreter	171R00000X	Primary

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