Individual
ANHELICA MARRIAH MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5703 114TH ST STE 200, LUBBOCK, TX 79424-6302
(575) 441-1476
Mailing address
5703 114TH ST STE 200, LUBBOCK, TX 79424-6302
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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