Dolores Matthews, | |
10781 Wayburn St, Detroit, MI 48224-2471 | |
(313) 720-4106 | |
Not Available |
Full Name | Dolores Matthews |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 10781 Wayburn St, Detroit, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104228634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 4703110727 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dolores Matthews, 10781 Wayburn St, Detroit, MI 48224-2471 Ph: (313) 720-4106 | Dolores Matthews, 10781 Wayburn St, Detroit, MI 48224-2471 Ph: (313) 720-4106 |
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