Individual
CLARA MATIMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 WREN LN, LEWISVILLE, TX 75077-7675
(972) 795-8033
Mailing address
3800 SURF ST, DENTON, TX 76208-6044
(940) 300-5202
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
226477
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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