Individual
ALIZAH MAE MATEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19192 FAIRHAVEN EXT, SANTA ANA, CA 92705-1362
(949) 290-9748
Mailing address
19192 FAIRHAVEN EXT, SANTA ANA, CA 92705-1362
(949) 290-9748
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2018
Last updated
11/03/2018
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