Individual
ELIZABETH MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP DNP
Contact information
Practice address
210 W SAN BERNARDINO RD, COVINA, CA 91723-1515
(626) 331-7331
Mailing address
11883 MOUNT HARVARD CT, RANCHO CUCAMONGA, CA 91737-7915
(626) 347-4465
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95009065
CA
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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