Individual
MRS. BERTHA HETTIE MATHENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3700 WILSON RD, LANCASTER, OH 43130-8145
(740) 503-1360
Mailing address
3700 WILSON RD, LANCASTER, OH 43130-8145
(740) 503-1360
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.090024 IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2476226
—
OH
Enumeration date
06/28/2006
Last updated
07/06/2016
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