Individual
MR. BENJAMIN MATACHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
22366 N 68TH DR, GLENDALE, AZ 85310-5239
(482) 745-9226
Mailing address
22366 N 68TH DR, GLENDALE, AZ 85310-5239
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
256678
AZ
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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