Individual
RACHEL ABIGAIL MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 RIVER RD, JEFFERSON, LA 70121-4227
(866) 624-7637
Mailing address
420 HOOPER DR, KENNER, LA 70065-2539
(504) 715-0600
(504) 715-0600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
LA
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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