Individual
MRS. JESSICA LEE MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COMMUNITY PARAMEDIC
Contact information
Practice address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-1175
(307) 754-1191
Mailing address
1244 ROAD 9, POWELL, WY 82435-8620
(307) 578-6073
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
47302
WY
Other
Enumeration date
02/13/2020
Last updated
11/05/2024
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