MRS. MAISABEL ANA MATHOS FNP
Custodial Care Facility
Visalia, California
Provider NPI: 1033309521
Provider Information:MRS. MAISABEL ANA MATHOS FNP
Practice Location:
1619 S EXETER CT VISALIA, CA 93292 US
Tel: 559-739-8439 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | CA | NP14581 |
Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | NP14581 |