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Liss Mathew
Primary Care Nurse Practitioner in Foothill Ranch, California
NPI 1336669548

Liss Mathew is a Primary Care Nurse Practitioner based in Foothill Ranch, CA and is specialized in Primary Care. Liss Mathew practices in Foothill Ranch, CA. The NPI Number for Liss Mathew is 1336669548 and holds a License No. 95006760 (California).

The current practice location address for Liss Mathew is 44 Tavella Pl, Foothill Ranch, CA and can be reached out via phone at 949-872-3369.

Location: 44 Tavella Pl, Foothill Ranch, CA, 92610-2204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336669548
Provider Name
Liss Mathew
Credential
Provider Entity Type
Individual
Gender
Female
Address
44 Tavella Pl, Foothill Ranch, CA, 92610-2204
Phone Number
949-872-3369
Fax Number
Provider Enumeration Date
06/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
44 Tavella Pl
City
Foothill Ranch
State
California
Zip
92610-2204
Phone Number
949-872-3369
Fax Number
person
Provider Business Mailing Address Details
Address
44 Tavella Pl
City
Foothill Ranch
State
California
Zip
92610-2204
Phone Number
949-872-3369
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
95006760 (California)
Definition
Definition to come...
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