Individual
MATTHEW R CUELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Mailing address
7108 COMSTOCK RD, GRANT TOWNSHIP, MI 48032-2014
(810) 990-4747
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
C460589755437
MI
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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