Individual
SAMANTHA LYNN JANNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 W WHITNEY ST, SHERIDAN, WY 82801-4719
(307) 655-5039
Mailing address
326 W WHITNEY ST, SHERIDAN, WY 82801-4719
(307) 655-5039
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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