Individual
KATHY JOY MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
917 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 736-9384
Mailing address
18311 APRICOT ST SW, ROCHESTER, WA 98579-9229
(360) 790-4340
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00049999
WA
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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