Individual
YAMAH PHASHAPEL MATOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1088 W BALTIMORE PIKE STE 2403, MEDIA, PA 19063-5166
(484) 444-2151
(484) 444-2152
Mailing address
151 S BISHOP AVE APT H25, SECANE, PA 19018-2054
(610) 653-4442
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP027300
PA
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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