MARIAM PRINCESS IKHARO-MATLOCK
NPI 1730845249
Student in an Organized Health Care Education/Training Program in Antioch, CA

Q: What is Mariam Ikharo-matlock's NPI number?

The NPI number for Mariam Ikharo-matlock is 1730845249. It was assigned to this individual provider in the NPPES registry on November 10, 2021.

Q: What is Mariam Ikharo-matlock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since November 10, 2021

1879 MOUNT GOETHE WAY, ANTIOCH, CA 94531(510) 904-8656 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mariam Princess Ikharo-matlock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIAM PRINCESS IKHARO-MATLOCK (NPI 1730845249) is an individual student in an organized health care education/training program in Antioch, California and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1730845249

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMARIAM PRINCESS IKHARO-MATLOCK

Location Address1879 MOUNT GOETHE WAYAntioch, CA 94531-9077

Mailing Address1879 Mount Goethe WayAntioch, CA 94531-9077 · (510) 904-8656

Phone(510) 904-8656

Sole ProprietorNo

Enumeration DateNovember 10, 2021

NPPES CertifiedNovember 10, 2021

✔ NPI 1730845249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

1879 MOUNT GOETHE WAY, Antioch, CA 94531

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariam Ikharo-matlock's NPI number?

The NPI number for Mariam Ikharo-matlock is 1730845249. It was assigned to this individual provider in the NPPES registry on November 10, 2021.

Where is Mariam Ikharo-matlock located?

Mariam Ikharo-matlock practices at 1879 Mount Goethe Way, Antioch, CA 94531. The listed phone number is (510) 904-8656.

What is Mariam Ikharo-matlock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mariam Ikharo-matlock was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.