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Marena Matta
Student in an Organized Health Care Education/Training Program in Covina, California
NPI 1710512702

Marena Matta is a Student in an Organized Health Care Education/Training Program based in Santa Ana, CA. Marena Matta practices in Covina, CA. The NPI Number for Marena Matta is 1710512702 and holds a License No. (California).

The current practice location address for Marena Matta is 536 S 2Nd Ave Ste D, Covina, CA and can be reached out via phone at 626-966-1577.

Location: 536 S 2Nd Ave Ste D, Covina, CA, 92701-5017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710512702
Provider Name
Marena Matta
Credential
Provider Entity Type
Individual
Gender
Female
Address
536 S 2Nd Ave Ste D, Covina, CA, 92701-5017
Phone Number
626-966-1577
Fax Number
Provider Enumeration Date
03/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
536 S 2Nd Ave Ste D
City
Covina
State
California
Zip
91723-3043
Phone Number
626-966-1577
Fax Number
person
Provider Business Mailing Address Details
Address
536 S 2Nd Ave Ste D
City
Covina
State
California
Zip
91723-3043
Phone Number
626-966-1577
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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