MATTHEW SIMON WINSLOW

FORT BRAGG, CA
NPI1841763992
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
(Licence: CA  MFC41677)
Enumeration Date2019-01-10
Last Update Date2019-01-10
Business Address
MATTHEW SIMON WINSLOW
137 E OAK ST
FORT BRAGG, CA 95437-3610
Phone number: 707-345-4012
Mailing Address
MATTHEW SIMON WINSLOW
101 N FRANKLIN ST
FORT BRAGG, CA 95437-3602
Phone number: 707-961-0172