Individual
TAMMY MAESTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 CITY VIEW DR, SUITE 302, EVANSTON, WY 82930-5327
(307) 789-3303
Mailing address
350 CITY VIEW DR, SUITE 302, EVANSTON, WY 82930-5307
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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