Individual
ZACHARY MATISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3444
Mailing address
1405 BEDFORD RD, LOWELLVILLE, OH 44436-8708
(330) 402-1525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
415501
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020424
OH
Other
Enumeration date
06/30/2021
Last updated
01/13/2022
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