Search › California › 101YA0400X
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