Individual
MRS. AMANDA HOVEY MATTESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1056 HOPE ST, PROVIDENCE, RI 02906-5026
(401) 751-1235
(401) 751-4744
Mailing address
250 WOODBINE ST, CRANSTON, RI 02910-2940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00426
RI
363AM0700X
Medical Physician Assistant
Primary
PA-00426
RI
Other
Enumeration date
11/06/2006
Last updated
06/22/2023
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