Individual
MATTHEW MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
286 HIGHWAY VV, BROSELEY, MO 63932-9174
(573) 686-4877
Mailing address
286 HIGHWAY VV, BROSELEY, MO 63932-9174
(573) 686-4877
Taxonomy
Speciality
Code
Description
License number
State
174V00000X
Clinical Ethicist
—
—
372600000X
Adult Companion
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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