Individual
THANHAN MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
148 E KINGS ST, AVENAL, CA 93204-1529
(559) 386-9000
Mailing address
555 E ST, LEMOORE, CA 93245-2617
(559) 386-4500
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
835965
CA
Other
Enumeration date
08/10/2020
Last updated
03/18/2023
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