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Wuanika Broomfield Matlock
NPI 1174939375 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3212 Fairwood Ave
Columbus, OH 43207 - Phone
- (614) 329-7998
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio