Individual
MRS. DANA MARIE MATOS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
Mailing address
1490 E MAIN ST, COLUMBUS, OH 43205-2140
(614) 252-0731
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN138734-M-IV
OH
Other
Enumeration date
03/05/2010
Last updated
07/22/2019
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