Penny Angel Mata, MEDICAL ASSISTANT
NPI #1518601020 in Caldwell, Idaho
Provider Information
- NPI Number
- 1518601020
- Entity Type
- Individual
- Name
- Penny Angel Mata, MEDICAL ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist
- Credential
- MEDICAL ASSISTANT
- Enumeration Date
- Apr 21, 2022
- Last Updated
- Apr 21, 2022
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist |
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Organizations
| Provider Name | |
|---|---|
| St. Maries School District #41 | |
| Canyon County Ambulance District |
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