Individual
CATHY N MATTOX
Active
Individual
CATHY N MATTOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,MSN,MBA
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
00001170205
VA
163WC1500X
Community Health Registered Nurse
00001170205
VA
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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