Individual
CHERYL MACAHILUS MATEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3726 GREEN AVE, LOS ALAMITOS, CA 90720-3230
(171) 449-5029
Mailing address
3726 GREEN AVE, LOS ALAMITOS, CA 90720-3230
(171) 449-5029
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
95009687
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95009687
CA
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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