| Robert Michael Matta, | |
|
9720 S Tacoma Way, Lakewood, WA 98499-4456 | |
| (253) 604-7422 | |
| (253) 302-8493 |
| Full Name | Robert Michael Matta |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 9720 S Tacoma Way, Lakewood, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043002660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP61584281 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Michael Matta, Po Box 39680, Lakewood, WA 98496-3680 Ph: (253) 604-7422 | Robert Michael Matta, 9720 S Tacoma Way, Lakewood, WA 98499-4456 Ph: (253) 604-7422 |
Edward Mbugua Karanja, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 Fax: 253-620-5831 | |
James E Grant, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 | |
Felicia Blanken, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9720 S Tacoma Way, Lakewood, WA 98499 Phone: 253-503-3666 | |
Melvin Alexander Jr., LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 | |
Amanda Barrier, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9720 S Tacoma Way, Lakewood, WA 98499 Phone: 253-503-3666 | |
Angela Ballensky, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9720 S Tacoma Way, Lakewood, WA 98499 Phone: 253-503-3666 |