MR. Jonathan Lee Mattingly, LPN

NPI #1154057404 in Marion, Illinois

Provider Information

NPI Number
1154057404
Entity Type
Individual
Name
MR. Jonathan Lee Mattingly, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jul 28, 2022
Last Updated
Aug 4, 2022

Practice Location

Address
11531 SUNDERLAND RD # A
City
Marion
ZIP Code
62959-8274
Phone
(618) 534-3624

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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