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Individual

CHEYENNE MICHELLE MATYAC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6 TARMAN DR, CLOVERDALE, CA 95425-3932
(707) 894-4229
Mailing address
19526 EAGLE RIDGE RD, FORESTHILL, CA 95631-9702
(530) 320-8830

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95035942
CA

Other

Enumeration date
07/18/2025
Last updated
07/18/2025
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