Individual
LAVINA MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 S FREEDOM RD, S4, FRENCH CAMP, CA 95231
(209) 946-3400
Mailing address
7620 N EL DORADO ST APT 254, STOCKTON, CA 95207-2138
(279) 204-4586
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
CA
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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