Individual
CHRISTINA ANN MATULIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4912 S PEA RIDGE RD, TEMPLE, TX 76502-5700
(254) 232-6521
Mailing address
4912 S PEA RIDGE RD, TEMPLE, TX 76502-5700
(254) 231-6521
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
200905
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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