Individual
BROOKE CLARINDA MATUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1150 STATE ROUTE 5 AND 20, GENEVA, NY 14456-9543
(315) 789-5758
Mailing address
17 WEBSTER ST, NEWPORT, RI 02840-4030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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