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Individual

MRS. MIMI B MATHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
751 S WEIR CANYON RD, SUITE 167, ANAHEIM, CA 92808-1962
(714) 974-0611
(714) 974-5019
Mailing address
751 S WEIR CANYON RD, SUITE 167, ANAHEIM, CA 92808-4780
(714) 974-0611
(714) 974-5019

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14481
CA

Other

Enumeration date
04/09/2007
Last updated
02/10/2015
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