Erika Matczenko
Technician, Other in Marina Del Rey, CA. Individual provider (NPI-1).
NPI number1265998793
StatusActive
Last updated in NPPESFeb 20, 2019
Details
- NPI
- 1265998793
- Entity type
- Individual (NPI-1)
- Name
- Erika Matczenko
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 20, 2019
- Last updated
- Feb 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | CA | Yes |
Practice location
13428 Maxella AveMarina Del Rey, CA 90292-5620
Phone 424-272-5238
Mailing address
13428 Maxella AveMarina Del Rey, CA 90292-5620
Phone 424-272-5238
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