Individual
VICTORIA MATANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 WESTGATE DR, BROCKTON, MA 02301-1817
(800) 258-4674
Mailing address
265 WESTGATE DR, BROCKTON, MA 02301-1817
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
19981
—
Other
Enumeration date
11/12/2019
Last updated
07/07/2025
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