Individual
ADRIANA MARIE MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
250 W 5TH ST, HANFORD, CA 93230-5029
(305) 322-7661
Mailing address
3404 S CRENSHAW ST APT A, VISALIA, CA 93277-8867
(305) 322-7661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57328
CA
Other
Enumeration date
11/03/2018
Last updated
10/30/2019
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