Individual
ANNA-LISA MATTESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 RINGGOLD ST, PEEKSKILL, NY 10566-3308
(914) 419-2367
Mailing address
245 RINGGOLD ST, PEEKSKILL, NY 10566-3308
(914) 419-2367
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
277094
NY
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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