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Susana Matala Valid NPI

Individual provider · Licensed Vocational Nurse · Mansfield, TX

NPI
1013508118
Type
Individual (Type 1)
Primary specialty
Licensed Vocational Nurse
Specialty group
Nursing Service Providers
Taxonomy code
164X00000X
License number
323517 (TX)
Sex
Female
Sole proprietor
No
Enumerated
2021-02-01
Last updated
2021-02-01
Practice location
4800 San Remo Dr
Mansfield, TX 76063-8642
(813) 263-8943

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