Ida Mary Mataafa
Ida Mary Mataafa is a Rehabilitation Practitioner in Culver City, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
9808 Venice Blvd Ste 700Culver City, CA 90232-6824
Phone: (310) 945-3350
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1043953466 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 14, 2022 |
| Last updated in NPPES | April 14, 2022 |
| Certification date | April 14, 2022 |
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