Individual
DR. SARAH ANN S MATOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
400 W I ST STE C, LOS BANOS, CA 93635-3459
(209) 827-2766
Mailing address
311 W I ST, LOS BANOS, CA 93635-3479
(708) 341-6428
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
135000807
IL
213E00000X
Podiatrist
Primary
5467
CA
Other
Enumeration date
06/18/2013
Last updated
01/22/2020
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