Trina Veronica Mathias LPN

NPI 1053503276 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1053503276
Gender Female
Enumeration Date 08/12/2007
Last Updated 08/12/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
23 MIRAGE LN
CLAY NY, 13041-6924, US
Phone (315) 288-5111
Fax
Business Location
23 MIRAGE LN
CLAY NY, 13041-6924, US
Phone (315) 288-5111
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 2447901
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According to our database, Ms. Trina Veronica Mathias LPN NPI is 1053503276, taxonomy code is 164W00000X and license number is 2447901, license state is located at New York. Trina Veronica Mathias LPN physically located at 23 Mirage Ln, Clay NY, 13041-6924. NPI Number Trina Veronica Mathias LPN has the Individual type.

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1053503276 NPI number is provided on an as is basis without warranty of any kind. 1053503276 is maintained by the National Plan & Provider Enumeration System. The contents of Trina Veronica Mathias LPN are for informational purposes only.