Individual
MRS. DIANA LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
851 SOUTH ST, WHEATLAND, WY 82201-2953
(307) 322-9495
Mailing address
851 SOUTH ST, WHEATLAND, WY 82201-2953
(307) 322-9495
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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