Individual
MRS. MATSAYAH S. SHALOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
43 COUNTY ROAD 3222, LEESBURG, TX 75451-4008
(903) 856-2728
Mailing address
43 COUNTY ROAD 3222, LEESBURG, TX 75451-4008
(903) 856-2728
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99081
TX
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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