Individual
BLAKE SZYMCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1263 N 15TH ST, LARAMIE, WY 82072-2343
(844) 895-7325
Mailing address
510 W 29TH ST, CHEYENNE, WY 82001-2760
(307) 426-4728
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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