Individual
MR. TONY EDWARD MATTHEWS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11406 SPRING STREET, CLINTON, LA 70722
(225) 301-4601
Mailing address
7380 COMITE DR, BAKER, LA 70714-6058
(225) 301-4601
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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