Individual
DARREN RUSSELL MATIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, NP, PHN
Contact information
Practice address
36650 ROAD 112, VISALIA, CA 93291-9517
(559) 735-1321
Mailing address
33292 LA COLINA DR, SPRINGVILLE, CA 93265-9617
(559) 202-7710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95009207
CA
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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