Individual
JILAENA IRENE FREITAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1174 N 22ND ST, LARAMIE, WY 82072-5401
(307) 766-3313
Mailing address
38 BIG VIEW RD, POWELL, WY 82435-8174
(307) 250-9750
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
32335
WY
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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