Individual
MRS. SUSANNE MICHELLE MATICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
14305
CA
Other
Enumeration date
04/13/2010
Last updated
12/03/2021
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