Provider Demographics
NPI:1063819159
Name:TUAHIVAATETONOHITI, MATTHIEU (MPAS, PA-C)
Entity Type:Individual
Prefix:
First Name:MATTHIEU
Middle Name:
Last Name:TUAHIVAATETONOHITI
Suffix:
Gender:M
Credentials:MPAS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 E MANNING AVE
Mailing Address - Street 2:
Mailing Address - City:REEDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93654-2346
Mailing Address - Country:US
Mailing Address - Phone:559-558-9741
Mailing Address - Fax:
Practice Address - Street 1:1530 E MANNING AVE
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-2346
Practice Address - Country:US
Practice Address - Phone:559-558-9741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-04
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant