Individual
SARAI GIDEL MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAC
Contact information
Practice address
3196 KENNEDY BLVD, UNION CITY, NJ 07087-2436
(833) 617-0501
Mailing address
365 AMERICAN LEGION DR, HACKENSACK, NJ 07601-2240
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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