Individual
HEATHER J NOTTAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1174 N 22ND ST, LARAMIE, WY 82072-5401
(307) 766-3313
Mailing address
2003 THORNBURGH DR, LARAMIE, WY 82070-4350
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WY
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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