Individual
GABRIELA ANDREINA MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 SOUTH GRAND BLVD, SLUCARE CENTER FOR SPECIALIZED MEDICINE, SAINT LOUIS, MO 63104
(314) 977-6086
Mailing address
1008 SOUTH SPRING AVENUE, SLUCARE ACADEMIC PAVILION, 3RD FLOOR, ST. LOUIS, MO 63110
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
01/31/2024
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