Individual
AYSHIA INDIANNE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
327 COLLEGE AVE, SANTA ROSA, CA 95401-5117
(337) 251-4151
Mailing address
327 COLLEGE AVE, SANTA ROSA, CA 95401-5117
(337) 251-4151
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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