Individual
PAMELA M MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17746 OAK PARK AVE, TINLEY PARK, IL 60477-3936
(708) 444-1150
Mailing address
17746 OAK PARK AVE, TINLEY PARK, IL 60477-3936
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043057476
IL
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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