Individual
MR. HUMBERTO JOSE MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DAOM
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
DACM00104
RI
171100000X
Acupuncturist
—
—
Other
Enumeration date
06/11/2010
Last updated
06/01/2023
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