Individual
KENYA MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 GUADALUPE ST # TX, AUSTIN, TX 78705-5654
(718) 688-5080
Mailing address
683 BARBEY ST, BROOKLYN, NY 11207-6038
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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