Myrna L. Mattos R.N.

NPI 1619140340 - General Practice - 208D00000X

NPI Details
NPI 1619140340
Gender Female
Enumeration Date 04/02/2008
Last Updated 04/02/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1409 DEVINE STREET
COLUMBIA SC, 29208-0001, US
Phone (803) 777-3658
Fax (803) 777-0126
Business Location
1409 DEVINE STREET
COLUMBIA SC, 29208-0001, US
Phone (803) 777-3658
Fax (803) 777-0126
Toxanomy
Taxonomy Code 208D00000X
License State South Carolina
License Number R106388
Remove 1619140340 NPI Number
 

According to our database, Myrna L. Mattos R.N. NPI is 1619140340, taxonomy code is 208D00000X and license number is R106388, license state is located at South Carolina. Myrna L. Mattos R.N. physically located at 1409 Devine Street, Columbia SC, 29208-0001. NPI Number Myrna L. Mattos R.N. has the Individual type.

Sponsored links

1619140340 NPI number is provided on an as is basis without warranty of any kind. 1619140340 is maintained by the National Plan & Provider Enumeration System. The contents of Myrna L. Mattos R.N. are for informational purposes only.