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Individual

CRAIG MATTHEWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
124 S CHALAN HENRY J KAISER, DEDEDO, GU 96929-5646
(671) 632-2850
Mailing address
PSC 80 BOX 11207, APO, AP 96367-0015
(671) 632-2850

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RX0749
GU

Other

Enumeration date
12/28/2022
Last updated
12/28/2022
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