Individual
MR. MATTHEW JAROD TWICHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, MSN
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721
(559) 459-6000
Mailing address
10061 N BAIRD AVE, FRESNO, CA 93730-5100
(775) 691-0453
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95076357
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000952
CA
Other
Enumeration date
08/03/2018
Last updated
08/10/2018
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