Organization
WELLNESS WAGON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOXBERGER FNP (OWNER)
(970) 371-9038
Entity
Organization
Contact information
Practice address
208 MAIN ST #12, LINGLE, WY 82223
(970) 371-9038
Mailing address
PO BOX 2417, CHEYENNE, WY 82003-2417
(307) 638-0300
(307) 658-0394
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
07/20/2023
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