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Shatevius Matthews

Homemaker in Winter Haven, FL. Individual provider (NPI-1).

NPI number1013751007
StatusActive
Last updated in NPPESJun 24, 2024

Details

NPI
1013751007
Entity type
Individual (NPI-1)
Name
Shatevius Matthews
Sex
Female
Sole proprietor
No
Enumeration date
Jun 24, 2024
Certification date
Jun 24, 2024
Last updated
Jun 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes

Practice location

4784 Summerfield Cir
Winter Haven, FL 33881-2848

Phone 863-508-5741

Mailing address

4784 Summerfield Cir
Winter Haven, FL 33881-2848

Phone 863-508-5741

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