Individual
KRISTINE MATLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
545 ELM ST, SOUR LAKE, TX 77659-2839
(432) 215-0636
Mailing address
545 ELM ST, SOUR LAKE, TX 77659-2839
(432) 215-0636
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
TX
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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