Individual
CHERADYN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
2622 PIONEER AVE, CHEYENNE, WY 82001-3024
(307) 630-4729
(307) 632-3298
Mailing address
PO BOX 20092, CHEYENNE, WY 82003-7002
(307) 630-4729
(307) 632-3298
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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