Individual
MS. MELISSA R EICHENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1541 DIAMOND DR., CASPER, WY 82601
(307) 324-5899
Mailing address
1541 DIAMOND DR., CASPER, WY 82601
(307) 324-5899
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
PPC-682
WY
Other
Enumeration date
10/14/2012
Last updated
02/01/2019
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