Individual
MINI MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
2 FRANKLIN GETZ DR, BROOMALL, PA 19008-2924
(610) 353-9566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
130362
PA
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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