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Individual

DONNA LEE MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
270 N PINE ST, UKIAH, CA 95482-4334
(916) 463-0404
Mailing address
527 STILLMAN WAY, FORTUNA, CA 95540-2436
(916) 505-3494

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/07/2007
Last updated
10/02/2013
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