Individual
JENNA MATEYACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3131
Mailing address
77 WAXWING AVE, NAPERVILLE, IL 60565-1311
(630) 649-9135
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.454679
IL
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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