NPI 1598350050
Charleston Matalda
Practice location
- Address
- 1208 Westport Beach Way Unit B, West Fargo, ND 58078-8857
- Phone
- (701) 317-5128
Registered specialties (2)
Homemaker
Primary
Personal Care Attendant
Registry record
- NPI
- 1598350050
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 6 Mar 2021
- Record last updated
- 6 Mar 2021
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.