Individual
JESSICA A MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 MARKET ST, POTSDAM, NY 13676-1747
(315) 265-4065
(315) 265-0012
Mailing address
25 DEAN RD, RUSSELL, NY 13684-3172
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
655710-1
NY
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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