Individual
CHERRYL MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5504 MONTEREY HWY, SAN JOSE, CA 95138-1529
(408) 559-5550
Mailing address
5504 MONTEREY HWY, SAN JOSE, CA 95138-1529
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54560
CA
Other
Enumeration date
06/18/2017
Last updated
03/26/2018
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