Individual
MS. MARYA NICOLE JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 HILLCREST WAY, GREEN RIVER, WY 82935-4006
(307) 870-2205
Mailing address
311 HILLCREST WAY, P.O. BOX 1172, GREEN RIVER, WY 82935-4006
(307) 870-2205
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
WY
Other
Enumeration date
03/02/2008
Last updated
03/02/2008
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