Individual
ANJA LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 SOUTH 3RD, BASIN, WY 82410
(307) 568-2020
Mailing address
PO BOX 351, GREYBULL, WY 82426-0351
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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