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Individual
MAKI MATSUMURA
Active
Individual
MAKI MATSUMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95001105
CA
363LA2200X
Adult Health Nurse Practitioner
95001105
CA
363LG0600X
Gerontology Nurse Practitioner
95001105
CA
Other
Enumeration date
08/21/2014
Last updated
10/07/2022
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