Individual
GRACE BLAS MATUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
98216 E SIDIBE PR SE, KENNEWICK, WA 99338-0009
(509) 588-7017
(509) 588-7017
Mailing address
98216 E SIDIBE PR SE, KENNEWICK, WA 99338-0009
(509) 588-7017
(509) 588-7017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60063583
WA
Other
Enumeration date
12/03/2018
Last updated
11/16/2020
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