Individual
MRS. PAMELA JEAN BOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 STATE HIGHWAY 10, JELM, WY 82063-9224
(307) 760-9519
Mailing address
57 STATE HIGHWAY 10, JELM, WY 82063-9224
(307) 760-9519
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/15/2011
Last updated
07/10/2019
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