Individual
MRS. DANIELLE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
251 MORRIS AVE, HAMILTON, OH 45011-5721
(513) 283-7749
Mailing address
251 MORRIS AVE, HAMILTON, OH 45011
(513) 283-7749
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
143980
OH
347C00000X
Private Vehicle
RQ568963
OH
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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