Individual
BETTY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
503 STATE ST, SPRINGFIELD, MA 01109-4101
(413) 733-7875
Mailing address
16 YALE ST, CHICOPEE, MA 01020-3427
(413) 594-2570
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
29384
MA
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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