Individual
MIGUEL ANGEL MATAMOROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 W VOGEL AVE, PHOENIX, AZ 85021-3166
(623) 329-1820
Mailing address
7421 W YUCCA ST, PEORIA, AZ 85345-5814
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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