Individual
MR. JAMES ALLAN HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
29 BLACKCOAL DRIVE, FORT WASHAKIE, WY 82514
(307) 332-3521
Mailing address
860 CLINCHARD ST, LANDER, WY 82520-2021
(307) 332-3521
(307) 332-3949
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
9871
WY
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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