Individual
KATHLEEN MATTES-LONGO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
252 SOUTH 4TH ST, LEBANON, PA 17042
(717) 272-4104
Mailing address
PO BOX 947, CHAMBERSBURG, PA 17201
(717) 263-5562
(717) 263-1566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN290161L
PA
Other
Enumeration date
01/17/2006
Last updated
07/08/2007
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