Individual
SUZANNE ELIZABETH MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23357 PACIFIC COAST HWY, MALIBU, CA 90265-4957
(310) 456-9059
(310) 456-6529
Mailing address
1648 AHART ST, SIMI VALLEY, CA 93065-2102
(805) 404-2756
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
197
CA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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