Individual
MS. KEZIAH E MATHESON-LINDNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
2891 MARION CT W, ORANGE PARK, FL 32073-7238
(904) 629-4268
Mailing address
2891 MARION CT W, ORANGE PARK, FL 32073-7238
(904) 629-4268
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5188978
FL
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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