Individual
ALYSSA MATULICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
921 E 3RD ST, CHATTANOOGA, TN 37403-2102
(423) 209-8150
Mailing address
306 STARGAZE LN, HIXSON, TN 37343-5807
(423) 774-0692
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0000200624
TN
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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