Individual
JONI JOYCE LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 1/2 MAIN STREET, SUNDANCE, WY 82729
(307) 283-3636
(307) 283-2898
Mailing address
PO BOX 646, SUNDANCE, WY 82729-0646
(307) 283-3636
(307) 283-2898
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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