Individual
JAMIE MATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
321 N THEARD ST, COVINGTON, LA 70433-2835
(985) 892-2276
Mailing address
146 REIHER RD, MANDEVILLE, LA 70471-7261
(985) 264-3875
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN121986
LA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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