Individual
KATRINA MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4305 35TH AVENUE, MERIDIAN, MS 39305-3223
(601) 480-3571
Mailing address
4305 35TH AVENUE, MERIDIAN, MS 39305-3223
(601) 480-3571
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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