Individual
MARIA-ISELA DEHERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
508 HARVARD LN, CHEYENNE, WY 82009-3422
(307) 287-7799
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
30295
WY
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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