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Individual
JENNIFER SOLOMON MATTOX
Active
Individual
JENNIFER SOLOMON MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN- 514466, NP- 9992
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN514466
—
CA
Enumeration date
08/31/2006
Last updated
12/30/2021
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