Individual
KAITLIN MYHRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 GOWER ST, STATEN ISLAND, NY 10314-6461
(718) 873-6850
Mailing address
510 GOWER ST, STATEN ISLAND, NY 10314-6461
(718) 873-6850
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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