Individual
AJIA MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6369 BEACHES BR, LOWVILLE, NY 13367-2002
(315) 376-5945
Mailing address
6369 BEACHES BR, LOWVILLE, NY 13367-2002
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302395
NY
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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