Individual
MRS. AMY MICHELLE MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 N GURLEY AVE, GILLETTE, WY 82716-2109
(307) 686-0669
(307) 686-2121
Mailing address
214 E LARAMIE ST, GILLETTE, WY 82716-2826
(307) 660-2398
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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