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Individual

MR. CHRISTOPHER MATTHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1550 JULIESSE AVE, SACRAMENTO, CA 95815-1803
(916) 621-6598
Mailing address
1550 JULIESSE AVE, SACRAMENTO, CA 95815-1803
(916) 621-6598

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RI-M1404281642
AOD
CA
Enumeration date
11/19/2015
Last updated
11/19/2015
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