Jacquelin Wentworth Tynan

NPI #1619329513 in South Hadley, Massachusetts

Provider Information

NPI Number: 1619329513
Entity Type: Individual
Name: Jacquelin Wentworth Tynan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Jul 5, 2016
Last Updated: Jul 5, 2016

Practice Location

Address: 258 OLD LYMAN RD
City: South Hadley
State: Massachusetts
ZIP Code: 01075-2653
Phone: (413) 532-3280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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