Individual
KATHY A MATSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
651 WOODPECKER LN, FORKS, WA 98331-9256
(253) 851-0116
Mailing address
PO BOX 872, FORKS, WA 98331-0872
(253) 851-0116
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
01/03/2021
Last updated
01/03/2021
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