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Individual

CARLOS LYDELL MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11351 SW 29TH ST APT 102, MIRAMAR, FL 33025-8167
(754) 220-0953
Mailing address
11351 SW 29TH ST APT 102, MIRAMAR, FL 33025-8167
(754) 220-0953

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
05/15/2023
Last updated
05/15/2023
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