Individual
MRS. REBECCA MATTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51101-1326
(712) 279-2010
Mailing address
801 5TH ST, SIOUX CITY, IA 51101-1326
(712) 279-2010
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A102516
IA
Other
Enumeration date
12/17/2014
Last updated
07/07/2015
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