Individual
DILEANE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
7233 CUTTERS CT, LITHONIA, GA 30058-8603
(404) 731-7672
Mailing address
7233 CUTTERS CT, LITHONIA, GA 30058-8603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN193923
GA
Other
Enumeration date
03/09/2018
Last updated
06/16/2018
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