Individual
EUPHEMIA MATONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 TAYLOR STREET, WINTERS, CA 95694-0573
(707) 689-9514
Mailing address
PO BOX 573, WINTERS, CA 95694-0573
(707) 689-9514
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN259848
CA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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