Individual
MRS. DOMINIC MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
278 LASALLE LEFALL DR, QUINCY, FL 32351-5324
(850) 519-4569
(850) 743-6034
Mailing address
278 LASALLE LEFALL DR, QUINCY, FL 32351-5324
(850) 519-4569
(850) 743-6034
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9399546
FL
163WA2000X
Administrator Registered Nurse
Primary
RN9399546
FL
163WC1500X
Community Health Registered Nurse
RN9399546
FL
Other
Enumeration date
02/03/2022
Last updated
02/14/2022
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