Individual
RYAN MATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4806 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-5806
(832) 656-7173
Mailing address
4806 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-5806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R67509
NM
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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