JERICHO DE MATA, D.O.

D.O.

Family Medicine Physician

NPI: 1275950396Individual

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

MD045539(DC)0102205000(VA)H83783(MD)

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Contact & Hours

Address: 1221 MERCANTILE LN, KAISER PERMANENTE LARGO MEDICAL CENTER
LARGO, MD 20774
Phone: (301) 618-5500

Locations (2)

Practice Location

1221 MERCANTILE LN, LARGO, MD

Practice Location

2139 Georgia Ave NW Ste 3B, Washington, DC

Quick Facts

NPI: 1275950396
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 3
Locations: 2

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