Individual
KATIE MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
378 MAPLE ST, RAVENNA, OH 44266-2523
(830) 733-7783
Mailing address
378 MAPLE ST, RAVENNA, OH 44266-2523
(830) 733-7783
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN481215
OH
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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