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Paul M Matiaco
Student in an Organized Health Care Education/Training Program in Richland, Washington
NPI 1285291047

Paul M Matiaco is a Student in an Organized Health Care Education/Training Program based in Richland, WA. Paul M Matiaco practices in Richland, WA. The NPI Number for Paul M Matiaco is 1285291047 and holds a License No. (Washington).

The current practice location address for Paul M Matiaco is 940 Northgate Dr, Richland, WA and can be reached out via phone at 509-942-2516 and via fax at 509-942-2527. You can also correspond with Paul M Matiaco through the mailing address at 550 GAGE BLVD STE 101, RICHLAND, WA - 99352-9532 (mailing address contact number: 509-942-2516).

Location: 940 Northgate Dr, Richland, WA, 99352-9532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285291047
Provider Name
Paul M Matiaco
Credential
Provider Entity Type
Individual
Gender
Male
Address
940 Northgate Dr, Richland, WA, 99352-9532
Phone Number
509-942-2516
Fax Number
509-942-2527
Provider Enumeration Date
05/28/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
940 Northgate Dr
City
Richland
State
Washington
Zip
99352
Phone Number
509-942-2516
Fax Number
509-942-2527
person
Provider Business Mailing Address Details
Address
940 Northgate Dr
City
Richland
State
Washington
Zip
99352
Phone Number
509-942-2516
Fax Number
509-942-2527
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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