Individual
MARY MATEAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5417 SKYLOFT DR, RIVERSIDE, CA 92509-5515
(951) 452-8582
Mailing address
5417 SKYLOFT DR, RIVERSIDE, CA 92509-5515
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
336412255
CA
Other
Enumeration date
08/21/2023
Last updated
09/18/2023
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