Individual
NIKALOUS TOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
418 S 5TH ST, LARAMIE, WY 82070-3733
(307) 745-8554
Mailing address
418 S 5TH ST, LARAMIE, WY 82070-3733
(307) 745-8554
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
409T
WY
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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