Individual
JULIE ELVESTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4070 PLAZA DR STE 106, CASPER, WY 82604-4296
(307) 577-4913
(307) 577-4014
Mailing address
PO BOX 393, CASPER, WY 82602-0393
(307) 577-4913
(307) 577-4014
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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