Individual
MARY W MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
540 WASHINGTON, AFTON, WY 83110
(307) 885-3780
Mailing address
647 ALLRED RD, AFTON, WY 83110-9609
(307) 885-3604
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
2432
WY
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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