Individual
CALLISTA MUZQUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 634-2273
Mailing address
6376 EMILY DR, CHEYENNE, WY 82009-7908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
40019
WY
Other
Enumeration date
03/30/2019
Last updated
03/30/2019
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