Individual
BRENDA MATIJEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1037 STERLING CT, CROWN POINT, IN 46307-2686
(219) 689-8794
Mailing address
1037 STERLING CT, CROWN POINT, IN 46307-2686
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28136217C
IN
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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