Individual
JESSICA L CECRLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
29 DUTCH ED LANE, LANDER, WY 82520-0000
(307) 349-5281
(307) 332-0131
Mailing address
29 DUTCH ED LANE, LANDER, WY 82520-0000
(307) 349-5281
(307) 332-0131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
29411
WY
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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