Astrid Maribel De Matta
NPI #1740579671 in Ft. Sumner, New Mexico
Provider Information
- NPI Number
- 1740579671
- Entity Type
- Individual
- Name
- Astrid Maribel De Matta
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Mar 31, 2011
- Last Updated
- Mar 31, 2011
Practice Location
- Address
- 678 AVENUE C
- City
- Ft. Sumner
- State
- New Mexico
- ZIP Code
- 88119
- Phone
- (575) 355-8326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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