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