Individual
CARRIE DENISE MATTMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1343 W MAIN ST STE A&B, MERCED, CA 95340-4438
(209) 725-1060
(209) 725-1064
Mailing address
1343 W MAIN ST STE A, MERCED, CA 95340-4438
(209) 725-1060
(209) 725-1064
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
189332
CA
Other
Enumeration date
08/15/2019
Last updated
09/16/2021
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