SearchCalifornia101YA0400X

Jill Mattern

NPI 1669514253 · on the registry since 2007 · sole proprietor

Practice

Address
201 Brush St
Ukiah, CA 95482
Phone
(707) 462-6290
Fax
(707) 468-6427
Organisation at this address
Ford Street Project
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
207V00000X
207V00000X
Licence states on file
CA, NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-09

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 California