Individual
CHASSITY MATYNKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
485 W MAIN ST, WILMINGTON, OH 45177-2174
(513) 834-7063
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1457
(513) 834-7063
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.176032.MEDS-IV
OH
Other
Enumeration date
12/15/2020
Last updated
03/03/2022
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