Individual
ANGELA JAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2538 BIG HORN AVE, CODY, WY 82414-9299
(307) 587-2197
Mailing address
2538 BIG HORN AVE, CODY, WY 82414-9299
(307) 587-2197
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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