Individual
LORI SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 MOORE LN, RIVERTON, WY 82501-8967
(307) 840-2120
Mailing address
15 MOORE LN, RIVERTON, WY 82501-8967
(307) 840-2120
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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