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Matthew Etuk

NPI 1568594828 · on the registry since 2007 · sole proprietor

Practice

Address
1407 Centinela Ave
Inglewood, CA 90302
Phone
(310) 330-2955
Fax
(310) 330-2959

Registry record

Primary taxonomy
332B00000X
332B00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 California