Individual
MRS. DIANE MATTHEWSMATTHEWS01
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 WALNUT ST, RIVER ROUGE, MI 48218-1545
(313) 286-9213
Mailing address
113 WALNUT ST, RIVER ROUGE, MI 48218-1545
(313) 286-9213
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
4703101181
MI
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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