Individual
KANTARA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 BELMONT ST, BROCKTON, MA 02301-4921
(774) 257-0202
Mailing address
430 BELMONT ST, BROCKTON, MA 02301-4921
(774) 257-0202
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MA
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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