Individual
SHONTASIA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 WESLEY AVE, MUSKEGON, MI 49442-2100
(231) 220-2344
Mailing address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-1111
(231) 724-4188
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
04/29/2024
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