GARRICK LAMONT MATLOCK

YOUNGSTOWN, OH
NPI1760972657
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2018-05-16
Last Update Date2018-05-16
Business Address
GARRICK LAMONT MATLOCK QBHS
209 W WOODLAND AVE
YOUNGSTOWN, OH 44502-1866
Phone number: 330-787-9180
Mailing Address
GARRICK LAMONT MATLOCK QBHS
594 QUARRY LN NE
WARREN, OH 44483-4535
Phone number: