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Individual
MICHELLE MATAMOROS
Active
Individual
MICHELLE MATAMOROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95383608
CA
310400000X
Assisted Living Facility
331800082
CA
310400000X
Assisted Living Facility
331881293
CA
Other
Enumeration date
10/02/2023
Last updated
04/14/2025
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