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Individual

THERESA KIMBERLY MATTHEWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3920 RIVARD ST APT 824, DETROIT, MI 48207-4746
(321) 347-0450
Mailing address
PO BOX 43944, DETROIT, MI 48243-0944
(321) 347-0450

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
177F00000X
Lodging Provider
225A00000X
Music Therapist
251E00000X
Home Health Agency
251G00000X
Community Based Hospice Care Agency
Primary
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency
282E00000X
Long Term Care Hospital
332H00000X
Eyewear Supplier
347C00000X
Private Vehicle
372500000X
Chore Provider
372600000X
Adult Companion

Other

Enumeration date
12/05/2019
Last updated
01/02/2020
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