Individual
CORAL LYNN MATICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
830 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-7700
(209) 558-7286
Mailing address
830 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-7700
(209) 558-7286
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
244826
CA
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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