Individual
DEANA MATAMOROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 E DIXON BLVD, SHELBY, NC 28152-6821
(704) 484-0051
Mailing address
705 E DIXON BLVD, SHELBY, NC 28152-6821
(704) 484-0051
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11956
NC
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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