Individual
CHERYL R MATTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15002 N 32ND ST, PHOENIX, AZ 85032
(602) 449-2051
Mailing address
15002 N 32ND ST, PHOENIX, AZ 85032-4441
(602) 449-2051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
528931
TX
Other
Enumeration date
09/09/2010
Last updated
08/08/2018
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