Individual
AMANDA LOUISE BIALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 ESTES LN, GILLETTE, WY 82716-2936
(307) 680-6154
Mailing address
1406 ESTES LN, GILLETTE, WY 82716-2936
(307) 680-6154
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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