Marilyn Kay Matlick
Technician, Attendant Care Provider in Dunham, MO. Individual provider (NPI-1).
NPI number1750931663
StatusActive
Last updated in NPPESSep 13, 2019
Details
- NPI
- 1750931663
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Marilyn Kay Matlick
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 13, 2019
- Last updated
- Sep 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
29050 252nd AveDunham, MO 63438
Phone 217-541-9003
Mailing address
29050 252nd AveDunham, MO 63438
Phone 217-541-9003
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