JERICHO DE MATA, D.O.
Family Medicine
Active
Individual
NPI: 1275950396
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | H83783 (MD) |
Frequently Asked Questions
NPI 1275950396 is the National Provider Identifier for JERICHO DE MATA, D.O., a Family Medicine provider located in Upper Marlboro, MD. This NPI was enumerated on March 26, 2014.
JERICHO DE MATA, D.O. practices at 1221 MERCANTILE LN, Upper Marlboro, MD 20774.
Quick Facts
- NPI
- 1275950396
- Type
- Individual
- Enumerated
- Mar 26, 2014
- Last Updated
- Jun 20, 2021
Nearby Providers
-
CURTIS KNOX
Behavior Technician
-
KAILA MONK, BS
Student in an Organized Health Care Education/Training Program
-
RMDS HEALTHCARE SERVICES LLC
Home Health
-
TIERNEY CREHAN
Behavior Technician
-
TUNISHIA CRUMMER
Specialist