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Individual

MS. CHERISH MATTOCKS WALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
1504 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1213
(704) 645-8539
Mailing address
1504 JAKE ALEXANDER BLVD W, SALISBURY, NC 28147-1213
(704) 645-8539

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/29/2020
Last updated
01/29/2020
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