Individual
HELEN MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 ENCINO PL NE STE E1, ALBUQUERQUE, NM 87102-2645
(505) 272-3526
(505) 272-7775
Mailing address
801 ENCINO PL NE STE E1, ALBUQUERQUE, NM 87102-2645
(505) 272-3526
(505) 272-7775
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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