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Individual

CHRISTIANNA PAULA MATHEWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95345552
CA
164X00000X
Licensed Vocational Nurse
716596
CA
167G00000X
Licensed Psychiatric Technician
41391
CA

Other

Enumeration date
01/12/2020
Last updated
07/26/2024
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