Individual
COURTNEY MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 N MORRISON AVE, SAN JOSE, CA 95126-2741
(406) 938-8516
Mailing address
1922 THE ALAMEDA STE 316, SAN JOSE, CA 95126-1461
(408) 261-7777
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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