Individual
TIFFANY WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 MAPLE WAY, ROCK SPRINGS, WY 82901-4107
(307) 870-5040
(307) 362-4615
Mailing address
1021 MAPLE WAY, ROCK SPRINGS, WY 82901-4107
(307) 870-5040
(307) 362-4615
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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