Jordan Lane Matheny

NPI #1881212678 in Mansfield, Ohio

Provider Information

NPI Number
1881212678
Entity Type
Individual
Name
Jordan Lane Matheny
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jul 8, 2020
Last Updated
Jul 8, 2020

Practice Location

Address
1451 LUCAS RD
State
Ohio
ZIP Code
44903-8682
Phone
(419) 589-5511

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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