SHANICE MARY ANN MATOS

RAEFORD, NC
NPI1427759059
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NC  5017790)
Enumeration Date2023-03-10
Last Update Date2023-03-10
Business Address
SHANICE MARY ANN MATOS PMHNP
131 W EDINBOROUGH AVE
RAEFORD, NC 28376-2825
Phone number: 917-251-1167
Mailing Address
SHANICE MARY ANN MATOS PMHNP
350 ROYAL BIRKDALE DR
RAEFORD, NC 28376-8956
Phone number: 917-251-1167
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