Individual
MS. TERESA MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 CELESTE RD, WALKERTOWN, NC 27051
(336) 508-2675
(828) 635-8351
Mailing address
3200 MATTHEWS MINT HILL RD, MATTHEWS, NC 28105-4029
(336) 328-4890
(704) 847-0758
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
HAL053-025
NC
Other
Enumeration date
04/10/2014
Last updated
01/02/2019
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