Individual
DONNA MICHELLE MATIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 N BENTLEY AVE, NILES, OH 44446-5202
(330) 307-1244
Mailing address
114 N BENTLEY AVE, NILES, OH 44446-5202
(330) 307-1244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0027643
OH
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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