Most Relevant Information
Provider Data
| NPI Number: | 1003414574 |
| Provider Name: | HARRY MAMATTAH |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 757923 |
Most Important Dates
| Enumeration Date: | 10/15/2020 |
| Last Updated: | 10/15/2020 |
Provider Practice Location
13311 PLUMAS WOOD LN
BAKERSFIELD
CA
933148042
Practice Location Phone/Fax
| Phone: | 6618895530 |
| Fax: |
Provider Mailing Location
13311 PLUMAS WOOD LN
BAKERSFIELD
CA
933148042
Provider Mailing Phone/Fax
| Phone: | 6618895530 |
| Fax: |