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Marie Mata

NPI 1780468470 · on the registry since 2023 · sole proprietor

Practice

Address
704 E Flint St
Davison, MI 48423
Phone
(810) 228-6574

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan