Individual
MATTHEW GELSTON HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 SHOSHONE AVE UNIT 26, GREEN RIVER, WY 82935-5558
(307) 922-1551
Mailing address
700 SHOSHONE AVE UNIT 26, GREEN RIVER, WY 82935-5558
(307) 922-1551
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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