Traci Mattox, CNA

NPI #1184083883 in Ritzville, Washington

Provider Information

NPI Number: 1184083883
Entity Type: Individual
Name: Traci Mattox, CNA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician
Credential: CNA
Enumeration Date: Feb 23, 2016
Last Updated: Feb 23, 2016

Practice Location

Address: 903 S ADAMS ST
City: Ritzville
State: Washington
ZIP Code: 99169-2227
Phone: (509) 659-5408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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