Individual
MR. JAMES MATTHEW RIDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
114 S EDGEWOOD AVE, URBANA, OH 43078-1932
(937) 207-8175
Mailing address
114 S EDGEWOOD AVE, URBANA, OH 43078-1932
(937) 207-8175
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN10223
OH
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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