Individual
HARRY MAMATTAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13311 PLUMAS WOOD LN, BAKERSFIELD, CA 93314-8042
(661) 889-5530
Mailing address
13311 PLUMAS WOOD LN, BAKERSFIELD, CA 93314-8042
(661) 889-5530
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
757923
CA
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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