Individual
ESTHER MATADAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 NEWPORT DR, PALM SPRINGS, CA 92264-5236
(760) 601-8614
Mailing address
227 NEWPORT DR, PALM SPRINGS, CA 92264-5236
(760) 601-8614
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
C6913959
CA
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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