Mariam Princess Ikharo-matlock is a student in an organized health care education training program in Antioch, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Mariam Princess Ikharo-matlock NPI is 1730845249. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1879 MOUNT GOETHE WAY
ANTIOCH, CA
ZIP 94531-077
Phone: (510) 904-8656
The enumeration date for this NPI number is 11/10/2021 and was last updated on 11/10/2021.