Individual
MR. JESSE WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3123 IRON MOUNTAIN RD, CHEYENNE, WY 82009-9607
(307) 421-6537
Mailing address
3123 IRON MOUNTAIN RD, CHEYENNE, WY 82009-9607
(307) 421-6537
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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