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Individual

MARY ANNE MATTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC

Contact information

Practice address
447 MILITIA HILL RD, FORT WASHINGTON, PA 19034-1913
(267) 314-7555
Mailing address
447 MILITIA HILL RD, FORT WASHINGTON, PA 19034-1913
(267) 314-7555

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK001239
PA

Other

Enumeration date
10/03/2017
Last updated
10/03/2017
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