Jacklyn Myers
Technician, Personal Care Attendant in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1194359976
StatusActive
Last updated in NPPESMar 2, 2020
Details
- NPI
- 1194359976
- Entity type
- Individual (NPI-1)
- Name
- Jacklyn Myers
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2020
- Certification date
- Mar 2, 2020
- Last updated
- Mar 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
1490 E Beltline Ave SeGrand Rapids, MI 49506-4336
Phone 000-000-0000
Mailing address
1490 E Beltline Ave SeGrand Rapids, MI 49506-4336
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