Individual
LYNNETTE J MATTINGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5128 E VILLA CASSANDRA WAY, CAVE CREEK, AZ 85331-9012
(480) 688-6364
Mailing address
PO BOX 7874, CAVE CREEK, AZ 85327-7874
(480) 488-1721
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1294
AZ
Other
Enumeration date
04/06/2007
Last updated
09/10/2009
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