Individual
DAVID RAY MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19801 WAR ADMIRAL RD, EAGLE RIVER, AK 99577-8492
(907) 240-9113
Mailing address
19801 WAR ADMIRAL RD, EAGLE RIVER, AK 99577-8492
(907) 240-9113
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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