Individual
ALEJANDRA MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 S ORANGE AVE, FRESNO, CA 93702-3463
(559) 457-5400
Mailing address
1945 N FINE AVE STE 116, FRESNO, CA 93727-1528
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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