Miguel Angel Matamoros
Technician, Attendant Care Provider in Phoenix, AZ. Individual provider (NPI-1).
NPI number1336796341
StatusActive
Last updated in NPPESAug 23, 2019
Details
- NPI
- 1336796341
- Entity type
- Individual (NPI-1)
- Name
- Miguel Angel Matamoros
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2019
- Last updated
- Aug 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
725 W Vogel AvePhoenix, AZ 85021-3166
Phone 623-329-1820
Mailing address
7421 W Yucca StPeoria, AZ 85345-5814
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