Individual
JENNIFER CORRINE QUINLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 E 12TH ST, CHEYENNE, WY 82001-5207
(303) 579-9269
Mailing address
2325 E 12TH ST, CHEYENNE, WY 82001-5207
(303) 579-9269
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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