Individual
SKY LYNN MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2125 S PINE ST, JANESVILLE, WI 53546-6133
(608) 931-8865
Mailing address
2125 S PINE ST, JANESVILLE, WI 53546-6133
(608) 931-8865
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312333-31
WI
Other
Enumeration date
02/26/2010
Last updated
03/03/2010
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