Individual
MRS. SUSAN MARIE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
109 NORTHAMPTON DR, HAMPTON, VA 23666-2012
(757) 838-0921
Mailing address
109 NORTHAMPTON DR, HAMPTON, VA 23666-2012
(757) 838-0921
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0019003756
VA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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