Individual
ASHLEY M MATCHACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
423 GRAND CIRCUIT BLVD, DELAWARE, OH 43015-3327
(419) 516-9871
Mailing address
6008 PARIS BLVD N, WESTERVILLE, OH 43081-4161
(419) 516-9871
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.147181-M-IV
OH
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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