Individual
MARY ALYCE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
975 GILCHRIST ST, WHEATLAND, WY 82201-2931
(307) 322-8122
(307) 322-3449
Mailing address
4025 RAWLINS ST, CHEYENNE, WY 82001-1900
(307) 426-4797
(307) 426-3449
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
8596
WY
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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