Individual
DR. VIVIANA ISABEL MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
880 N MCKNIGHT RD APT 1N, SAINT LOUIS, MO 63132-4834
(201) 403-5951
Mailing address
880 N MCKNIGHT RD APT 1N, SAINT LOUIS, MO 63132-4834
(201) 403-5951
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2025006841
MO
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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