Individual
PEDRO MATEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
43322 GINGHAM AVE, LANCASTER, CA 93535-4576
(661) 974-4277
Mailing address
43322 GINGHAM AVE, LANCASTER, CA 93535-4576
(661) 974-4277
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-VJWQKU
CA
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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