Individual
JESSE MCINTOSH MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAPA
Contact information
Practice address
24 GREAT PLAINS RD, ARAPAHOE, WY 82510-0024
(307) 856-0470
(307) 857-4383
Mailing address
PO BOX 190, ST STEPHENS, WY 82524-0190
(307) 856-0470
(307) 857-4383
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CAPA-051
WY
Other
Enumeration date
07/22/2016
Last updated
08/04/2025
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