Individual
MARY H MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-5069
Mailing address
347 SANDLEWOOD RD, WIRTZ, VA 24184-3744
(540) 982-2463
(540) 855-5069
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002045910
VA
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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