Search › Idaho › 183500000X
Erica Matamoros
NPI 1932653821 · on the registry since 2016
Practice
- Address
- 911 N Main St
Pocatello, ID 83204 - Phone
- (208) 478-8510
- Fax
- (208) 235-1328
- Organisation at this address
- Ridley'S Family Markets, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-06
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