Vickie Lynn Matthews
Technician, Attendant Care Provider in Bemidji, MN. Individual provider (NPI-1).
NPI number1366093841
StatusActive
Last updated in NPPESSep 25, 2019
Details
- NPI
- 1366093841
- Entity type
- Individual (NPI-1)
- Name
- Vickie Lynn Matthews
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2019
- Last updated
- Sep 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
1018 Miles Ave SeBemidji, MN 56601
Phone 218-209-5288
Mailing address
519 3rd St NwBemidji, MN 56601
Phone 763-267-8771
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