Individual
MR. GLEN MICHAEL GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 EVELYN ST, CHEYENNE, WY 82007-1029
(307) 638-9515
Mailing address
508 E 10TH ST, CHEYENNE, WY 82007-1524
(307) 286-5410
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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