Individual
AVIONE SHANIA MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 WOOD ST, PITTSBURGH, PA 15221-2818
(412) 243-3400
Mailing address
716 WOOD ST, PITTSBURGH, PA 15221-2818
(412) 243-3400
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32189984
CERTIFIED PEER SPECIALIST
PA
Enumeration date
03/14/2019
Last updated
03/14/2019
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