CHARLESTON MATALDA

WEST FARGO, ND
NPI1598350050
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
Additional Taxonomies3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-03-06
Last Update Date2021-03-06
Business Address
CHARLESTON MATALDA
1208 WESTPORT BEACH WAY UNIT B
WEST FARGO, ND 58078-8857
Phone number: 701-317-5128
Mailing Address
CHARLESTON MATALDA
1208 WESTPORT BEACH WAY UNIT B
WEST FARGO, ND 58078-8857
Phone number: 701-317-5128
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