MR. Thomas Anthone Taylor Matros, LPN
NPI #1699286443 in South St Paul, Minnesota
Provider Information
- NPI Number
- 1699286443
- Entity Type
- Individual
- Name
- MR. Thomas Anthone Taylor Matros, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 19, 2017
- Last Updated
- Oct 19, 2017
Practice Location
- Address
- 710 19TH AVE N STE 300
- City
- South St Paul
- State
- Minnesota
- ZIP Code
- 55075-1301
- Phone
- (651) 471-9038
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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