Individual
KAYA IMAN MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
274 BOOMERANG LN, SOPERTON, GA 30457-3204
(404) 857-9249
Mailing address
274 BOOMERANG LN, SOPERTON, GA 30457-3204
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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