Individual
MICHELLE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1047 MILLMONT ST, CHARLOTTESVILLE, VA 22903-4866
(434) 979-7730
(434) 977-7512
Mailing address
1047 MILLMONT ST, CHARLOTTESVILLE, VA 22903-4866
(434) 979-7730
(434) 977-7512
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101002073
VA
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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