Individual
MICHAEL MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NA
Contact information
Practice address
363 LE BORGNE AVE, LA PUENTE, CA 91746-2308
(970) 773-8734
Mailing address
363 LE BORGNE AVE, LA PUENTE, CA 91746-2308
(970) 773-8734
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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