Jessica Eve Matthews LPN

NPI 1073890349 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1073890349
Gender Female
Enumeration Date 11/14/2011
Last Updated 11/14/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
14 LAKE ST
APT 1
LE ROY NY, 14482-1068, US
Phone (585) 500-9028
Fax
Business Location
14 LAKE ST
APT 1
LE ROY NY, 14482-1068, US
Phone (585) 500-9028
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 2827171
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According to our database, Miss Jessica Eve Matthews LPN NPI is 1073890349, taxonomy code is 164W00000X and license number is 2827171, license state is located at New York. Jessica Eve Matthews LPN physically located at 14 Lake St, Le Roy NY, 14482-1068. NPI Number Jessica Eve Matthews LPN has the Individual type.

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1073890349 NPI number is provided on an as is basis without warranty of any kind. 1073890349 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Eve Matthews LPN are for informational purposes only.