Most Relevant Information
Provider Data
| NPI Number: | 1003457953 |
| Provider Name: | ALEXANDRA CATHERINE MATTINA |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/02/2019 |
| Last Updated: | 10/02/2019 |
Provider Practice Location
975 FLYNN RD
CAMARILLO
CA
930128704
Practice Location Phone/Fax
| Phone: | 8053664040 |
| Fax: |
Provider Mailing Location
975 FLYNN RD
CAMARILLO
CA
930128704
Provider Mailing Phone/Fax
| Phone: | 8053664040 |
| Fax: |