Individual
MISTY JO MATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
82 TABLE MOUNTAIN BLVD, OROVILLE, CA 95965-3578
(530) 538-7705
Mailing address
82 TABLE MOUNTAIN BLVD, OROVILLE, CA 95965-3578
(530) 538-7705
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
11/19/2025
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