Individual
JAMIE VIAN DI MATTEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4600 BROADWAY, SACRAMENTO, CA 95820-1527
(916) 874-9670
Mailing address
4600 BROADWAY, SACRAMENTO, CA 95820-1527
(916) 874-9670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
821934
CA
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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