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Charleston Matalda

NPI 1598350050 · on the registry since 2021 · sole proprietor

Practice

Address
1208 Westport Beach Way Unit B
West Fargo, ND 58078
Phone
(701) 317-5128
Organisation at this address
Angel Home Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
376J00000X
376J00000X
Also registered as
3747P1801X
Sex
Male
Record last updated
2021-03-06

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 North Dakota