Virginia Mattern Valid NPI
Individual provider · Pharmacist · Peoria Heights, IL
- NPI
- 1932482015
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 051038152 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-09-24
- Last updated
- 2011-09-24
Practice location
1200 E War Memorial Dr
Peoria Heights, IL 61616-7723
(309) 682-3844