Individual
CARA R PEDRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 DONALYNN DR LOT 47, ROCK SPRINGS, WY 82901-7442
(307) 922-1596
Mailing address
PO BOX 104, ROCK SPRINGS, WY 82902-0104
(307) 922-1596
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
123014000
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123014000
—
WY
Enumeration date
02/19/2007
Last updated
01/24/2013
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