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Individual
MRS. MAISABEL ANA MATHOS
Active
Individual
MRS. MAISABEL ANA MATHOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
NP14581
CA
363L00000X
Nurse Practitioner
Primary
NP14581
CA
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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