Individual
ERICA ROSE GOLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 BLACK COAL ROAD, FORT WASHAKIE, WY 82514
(307) 856-9281
Mailing address
14 GREAT PLAINS RD, ARAPAHOE, WY 82510
(307) 856-9281
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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