Individual
JENNA B MATSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4580 LIBERTY AVE, VERMILION, OH 44089-3285
(440) 967-2018
Mailing address
1917 ATLANTIC AVE, SANDUSKY, OH 44870-7041
(419) 202-7649
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03234041
OH
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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