Individual
MS. KIMBERLY MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
20345 NASHUA RD, SONORA, CA 95370-9046
(209) 559-1495
Mailing address
20345 NASHUA RD, SONORA, CA 95370-9046
(209) 559-1495
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1011266
CA
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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