Individual
SHAWNELL E BIZZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 RIDGECREST DR, CASPER, WY 82604-4812
(970) 396-6813
Mailing address
3020 RIDGECREST DR, CASPER, WY 82604-4812
(970) 396-6813
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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