Individual
MATEA BERRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
840 SW 4TH AVE, ONTARIO, OR 97914-2633
(541) 881-2380
Mailing address
4949 WHITLEY DR, FRUITLAND, ID 83619-3762
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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