Individual
ANALYSA TERESA MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 ALLES DR, GREELEY, CA 80631
(970) 351-2986
Mailing address
6720 29TH ST APT 302, GREELEY, CO 80634-8299
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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