Individual
MAGDALENA JUAN MATIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31070 ELECTRIC AVE, NUEVO, CA 92567-9532
(951) 483-3857
Mailing address
31070 ELECTRIC AVE, NUEVO, CA 92567-9532
(951) 483-3857
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
01244040
CA
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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