Individual
ERIC ANOTHONY MATTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7101 BAIRD AVE, RESEDA, CA 91335-4150
(818) 342-5897
Mailing address
23150 AVENUE SAN LUIS, APT 315, WOODLAND HILLS, CA 91364-1019
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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