Individual
KENDRA PANDALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 WINSTON DR STE 229, ROCK SPRINGS, WY 82901-5775
(307) 212-3284
Mailing address
PO BOX 20310, CHEYENNE, WY 82003-7007
(307) 922-6644
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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