Individual
EDWARD S MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Mailing address
207 RADNOR CT, BENICIA, CA 94510-1516
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN545458
CA
Other
Enumeration date
11/11/2006
Last updated
02/11/2022
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