Matt Childs

NPI #1134717747 in North Bend, Washington

Provider Information

NPI Number: 1134717747
Entity Type: Individual
Name: Matt Childs
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Supports Brokerage
Enumeration Date: Jan 8, 2021
Last Updated: Jan 8, 2021

Practice Location

Address: 1315 11TH CT SW
City: North Bend
State: Washington
ZIP Code: 98045-7989
Phone: (812) 251-6639

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Supports Brokerage	251X00000X	Primary

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