Individual
MIA MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
290 PAANI PL, PAIA, HI 96779
(415) 728-4332
Mailing address
PO BOX 790093, PAIA, HI 96779
(415) 728-4332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
83764
HI
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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