Charleston Matalda
Charleston Matalda is a Personal Care Attendant in West Fargo, North Dakota. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1208 Westport Beach Way Unit BWest Fargo, ND 58078-8857
Phone: (701) 317-5128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|---|
| Personal Care Attendant | Taxonomy 3747P1801X |
Record details
| NPI number | 1598350050 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2021 |
| Last updated in NPPES | March 6, 2021 |
| Certification date | March 6, 2021 |
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