Individual
HAILEE ERIN RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 N DESMET AVE, BUFFALO, WY 82834-1812
(307) 217-0483
Mailing address
65 N DESMET AVE, BUFFALO, WY 82834-1812
(307) 217-0483
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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