| Astrid Maribel De Matta, | |
|
678 Avenue C, Ft. Sumner, NM 88119 | |
| (575) 355-8326 | |
| (575) 355-8327 |
| Full Name | Astrid Maribel De Matta |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 678 Avenue C, Ft. Sumner, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740579671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Astrid Maribel De Matta, Po Box 28220, Santa Fe, NM 87592-8220 Ph: (505) 471-5006 | Astrid Maribel De Matta, 678 Avenue C, Ft. Sumner, NM 88119 Ph: (575) 355-8326 |
Gerald L Sena, Counselor Medicare: Not Enrolled in Medicare Practice Location: 678 Avenue C, Ft. Sumner, NM 88119 Phone: 575-355-8326 | |
Shelly Renee Landreth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 678 Avenue C, Ft. Sumner, NM 88119 Phone: 575-355-8326 Fax: 575-355-8327 | |
Brenton Williamson, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 678 Avenue C, Ft. Sumner, NM 88119 Phone: 575-355-8326 | |
Mayra Maria Mendoza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 678 Avenue C, Ft. Sumner, NM 88119 Phone: 575-355-8326 Fax: 575-355-8327 |