Individual
ASTON MATTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
1864 SW CALIFORNIA BLVD, PORT ST LUCIE, FL 34953-1163
(772) 873-1057
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 3101032
FL
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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