Jenna B Matso

NPI #1881000594 in Vermilion, Ohio

Provider Information

NPI Number: 1881000594
Entity Type: Individual
Name: Jenna B Matso
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jul 2, 2014
Last Updated: Jul 2, 2014

Practice Location

Address: 4580 LIBERTY AVE
City: Vermilion
State: Ohio
ZIP Code: 44089-3285
Phone: (440) 967-2018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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