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Individual
THYRA ISABEL MATIAS
Active
Individual
THYRA ISABEL MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
014402
NY
363AS0400X
Surgical Physician Assistant
Primary
PA5665
MA
Other
Enumeration date
10/28/2010
Last updated
02/21/2025
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