Individual
RAECHYL M DUNNUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11090 E WAGON TRAIL RD, EVANSVILLE, WY 82636-9678
(307) 247-7090
Mailing address
11090 E WAGON TRAIL RD, EVANSVILLE, WY 82636-9678
(307) 247-7090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28408
WY
Other
Enumeration date
12/13/2023
Last updated
12/29/2023
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