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Natalie Angele Mattos, PA
Medical Physician Assistant in Modesto, California
NPI 1265415525

Natalie Angele Mattos is a Medical Physician Assistant based in Turlock, CA and is specialized in Medical. Natalie Angele Mattos practices in Modesto, CA and has the professional credentials of PA. The NPI Number for Natalie Angele Mattos is 1265415525 and holds a License No. PA18095 (California).

The current practice location address for Natalie Angele Mattos is 1114 6Th St, Modesto, CA and can be reached out via phone at 209-576-2845 and via fax at 209-236-1290.

Location: 1114 6Th St, Modesto, CA, 95381-2906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265415525
Provider Name
Natalie Angele Mattos
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1114 6Th St, Modesto, CA, 95381-2906
Phone Number
209-576-2845
Fax Number
209-236-1290
Provider Enumeration Date
11/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1069551 01 CA NCCPA CERT #
institution
Provider Business Practice Location Address Details
Address
1114 6Th St
City
Modesto
State
California
Zip
95354-2203
Phone Number
209-576-2845
Fax Number
209-236-1290
person
Provider Business Mailing Address Details
Address
1114 6Th St
City
Modesto
State
California
Zip
95354-2203
Phone Number
209-576-2845
Fax Number
209-236-1290
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA18095 (California)
Definition
Definition to come...
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