Individual
TATIANA A HOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 VAL VISTA ST, SHERIDAN, WY 82801-3048
(307) 751-7331
(307) 751-7331
Mailing address
1245 VAL VISTA ST, SHERIDAN, WY 82801-3048
(307) 751-7331
(307) 751-7331
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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