Individual
MRS. TERESA LYNN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 E TYLER AVE, EAU CLAIRE, WI 54701-6555
(715) 831-1675
Mailing address
714 E TYLER AVE, EAU CLAIRE, WI 54701-6555
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4576-016
WI
Other
Enumeration date
08/21/2014
Last updated
09/16/2014
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