Search › Idaho › 235500000X
Penny Mata, MEDICAL ASSISTANT
NPI 1518601020 · on the registry since 2022
Practice
- Address
- 4521 Thomas Jefferson St
Caldwell, ID 83605 - Phone
- (208) 454-4820
- Fax
- (208) 454-4859
- Clinicians at this address
- 29
Registry record
- Primary taxonomy
- 235500000X
235500000X
- Sex
- Female
- Record last updated
- 2022-04-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho