Individual
BETH ANN MATTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9898 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 824-5115
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 824-5115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10880
CA
Other
Enumeration date
07/31/2006
Last updated
02/06/2020
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