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Individual

MATTHEW ERILIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1157 RICHARDSON RD, LATHROP, CA 95330-7601
(408) 476-7524
Mailing address
1157 RICHARDSON RD, LATHROP, CA 95330-7601
(408) 476-7524
(408) 476-7524

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
95036296
CA

Other

Enumeration date
07/21/2025
Last updated
07/21/2025
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