Individual
KATHLEEN LUCILLE MATAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
2122 OAKSBLUFF CT, DAVISON, MI 48423-7814
(248) 417-9030
Mailing address
2122 OAKSBLUFF CT, DAVISON, MI 48423-7814
(248) 417-9030
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
4704306769
MI
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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