Mariam Princess Ikharo-Matlock
Mariam Princess Ikharo-Matlock is a Student in an Organized Health Care Education/Training Program in Antioch, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1879 Mount Goethe WayAntioch, CA 94531-9077
Phone: (510) 904-8656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1730845249 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 10, 2021 |
| Last updated in NPPES | November 10, 2021 |
| Certification date | November 10, 2021 |
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