Individual
MRS. NANETTE MATIC-CHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
150 MUIR RD, MARTINEZ, CA 94553-4668
(925) 372-2131
(925) 372-2017
Mailing address
2008 ASILOMAR DR, ANTIOCH, CA 94509-8929
(925) 778-3297
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
483018
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
483018
RN NURSING LICENSE
CA
Enumeration date
06/21/2006
Last updated
07/08/2007
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