Individual
ALIETH S MATTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 MEMORY LANE EXT, YORK, PA 17402-9601
(717) 757-5433
Mailing address
1500 MEMORY LANE EXT, YORK, PA 17402-9601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN551914
PA
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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