Individual
MIRANDA CASTOGNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 STATE HIGHWAY 150 SOUTH SUITE J, EVANSTON, WY 82930-8752
(307) 789-7915
(307) 789-6009
Mailing address
1575 STATE HIGHWAY 150 SOUTH SUITE J, EVANSTON, WY 82930-8752
(307) 789-7915
(307) 789-6009
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/06/2012
Last updated
11/04/2015
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