Individual
MRS. DEBBIE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1013 MANHATTAN BLVD APT 10, HARVEY, LA 70058-4645
(504) 671-7458
(504) 218-7221
Mailing address
2801 MANHATTAN BLVD # 3169, HARVEY, LA 70058-2987
(504) 671-7458
(504) 218-7221
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
005961619
LA
Other
Enumeration date
03/10/2022
Last updated
06/15/2022
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