Individual
CHEYENNE BROOKE MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4642 S HAGADORN RD APT E5, EAST LANSING, MI 48823-5325
(903) 436-9143
Mailing address
4642 S HAGADORN RD APT E5, EAST LANSING, MI 48823-5325
(903) 436-9143
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/25/2019
Last updated
08/25/2019
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