Individual
JESSICA CAROL WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
286 MARKET ST, LANDER, WY 82520-2246
(330) 733-5831
Mailing address
286 MARKET ST, LANDER, WY 82520-2246
(330) 733-5831
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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