Individual
JORDAN CORINNE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7008
(530) 543-5883
(530) 541-7940
Mailing address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7008
(530) 543-5883
(530) 541-7940
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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