Individual
DR. DIANA VERONICA MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0102204830
VA
2084P0800X
Psychiatry Physician
DO034523
DC
2084P0800X
Psychiatry Physician
Primary
H79834
MD
Other
Enumeration date
04/10/2012
Last updated
07/21/2022
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