Organization
MAMMA MIA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN CATES DMSC, MMS, PA-C (PRESIDENT)
(813) 732-7842
Entity
Organization
Contact information
Practice address
4000 DUBLIN BLVD STE 150, DUBLIN, CA 94568-3180
(813) 732-7842
Mailing address
2474 WALNUT ST # 314, CARY, NC 27518-9212
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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