Individual
PAUL ANTHONY MATTHEWS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5165 ASHLAND AVE, SAINT LOUIS, MO 63115-1014
(314) 681-0457
Mailing address
1430 OLIVE ST STE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
MO
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
12/16/2021
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