David Michael Mattiuz Jr., RN
Registered Nurse in Buckeye, AZ. Individual provider (NPI-1).
NPI number1467680520
StatusActive
Last updated in NPPESJul 29, 2020
Details
- NPI
- 1467680520
- Entity type
- Individual (NPI-1)
- Name
- Mr. David Michael Mattiuz Jr.
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2009
- Certification date
- Jul 29, 2020
- Last updated
- Jul 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN.372862 | OH | Yes |
| 183700000X | Pharmacy Technician | – | – |
Practice location
3445 N 301st DrBuckeye, AZ 85396-3149
Phone 216-313-3151
Mailing address
3445 N 301st DrBuckeye, AZ 85396-3149
Phone 216-313-3151
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