Individual
ELAINA ELIZABETH OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3832 ANDERSEN LN, WILSON, WY 83014-9194
(307) 413-7770
Mailing address
3832 ANDERSEN LN, WILSON, WY 83014-9194
(307) 413-7770
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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