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Individual

MATTHEW T HERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN BSN

Contact information

Practice address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
(602) 707-2615
(602) 707-2640
Mailing address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
(602) 707-2615
(602) 707-2640

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN086627
AZ

Other

Enumeration date
06/11/2009
Last updated
06/11/2009
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