Individual
KATINA MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 S SHIAWASSEE ST, BANCROFT, MI 48414-7706
(989) 408-8816
Mailing address
PO BOX 171, BANCROFT, MI 48414-0171
(989) 408-8816
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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