Individual
TREY JODOZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 N GURLEY AVE, GILLETTE, WY 82716-2109
(307) 686-0669
Mailing address
905 N GURLEY AVE, GILLETTE, WY 82716-2109
(307) 686-0669
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
830230126
—
WY
Enumeration date
08/21/2017
Last updated
07/21/2022
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