Individual
EBONY DEVON HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 WINTERVIEW DR, GREEN RIVER, WY 82935-5449
(307) 389-0732
Mailing address
1415 WINTERVIEW DR, GREEN RIVER, WY 82935-5449
(307) 389-0732
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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