Individual
GINGER LEIGH MATKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
4112 E JASMINE CT, NAMPA, ID 83687-7526
(208) 899-6882
Mailing address
4112 E JASMINE CT, NAMPA, ID 83687-7526
(208) 899-6882
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
112100
ID
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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