Individual
BLYTHE QUEREN MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2370 BUHNE ST, EUREKA, CA 95501-3237
(707) 442-5721
Mailing address
233 DOLLISON ST, EUREKA, CA 95501-4307
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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