NPI 1184123101

Charles Lee Mattison

Practitioner Personal Care Attendant Suitland, MD

Practice location

Address: 4722 English CT, Suitland, MD 20746-3779
Phone: (240) 216-8540
Fax: (240) 216-8640

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1184123101
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Feb 2018
Record last updated: 5 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.