Individual
JACQUELINE MATHENGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 JEFFERSON ST, GREENFIELD, OH 45123-1364
(937) 981-7133
Mailing address
4345 GLEN ESTE WITHAMSVILLE RD APT 316, CINCINNATI, OH 45245-0011
(770) 833-4973
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03236572
OH
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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