Individual
MS. SIERRA QUINLYN JONES I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 OLD FAITHFUL RD STE 100, CHEYENNE, WY 82001-5890
(307) 369-1410
Mailing address
1504 TAFT AVE APT 1, CHEYENNE, WY 82001-6552
(307) 256-6670
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
112563
WY
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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