Individual
CHRISTOPHER AARON GROOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1745 E 22ND ST, CHEYENNE, WY 82001-4138
(307) 630-9136
Mailing address
1745 E 22ND ST, CHEYENNE, WY 82001-4138
(307) 630-9136
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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