Individual
MILDRED MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-3650
(937) 208-2752
Mailing address
6110 WESTFORD RD, TROTWOOD, OH 45426-1434
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
RN213480
OH
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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