Individual
MS. YOLANDA MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
257 N DEWITT AVE, FRESNO, CA 93727-3312
(559) 255-1373
Mailing address
257 N DEWITT AVE, FRESNO, CA 93727-3312
(559) 255-1373
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
18836
CA
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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