Individual
AMANDA MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 GREEN ST, CHARLESTOWN, MA 02129-2532
(617) 851-0677
Mailing address
38 GREEN ST, CHARLESTOWN, MA 02129-2532
(617) 851-0677
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
8245
MA
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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