Individual
MRS. JOYCE KING MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6928 CLIPPER DR., GRAND PRAIRIE, TX 75054
(682) 518-5869
(682) 518-5869
Mailing address
6928 CLIPPER DR., GRAND PRAIRIE, TX 75054
(682) 518-5869
(682) 518-5869
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
NA08173249
TX
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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