Individual
JACQUELIN WENTWORTH TYNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
258 OLD LYMAN RD, SOUTH HADLEY, MA 01075-2653
(413) 532-3280
Mailing address
11 EVENING STAR DR, AMHERST, MA 01002-3500
(413) 210-6553
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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