Individual
TERESA LYNN MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1454 N CALUMET DR, WORTHINGTON, KY 41183-9607
(731) 607-0380
Mailing address
1454 N CALUMET DR, WORTHINGTON, KY 41183-9607
(731) 607-0380
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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