Individual
FLORENCE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22682 SIMONET BLANC TER, ASHBURN, VA 20148-3157
(703) 999-2557
Mailing address
22682 SIMONET BLANC TER, ASHBURN, VA 20148-3157
(703) 999-2557
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401176397
VA
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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