Individual
MRS. GRETCHEN HALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
421 E 17TH ST, CHEYENNE, WY 82001-4609
(307) 633-6114
Mailing address
421 E 17TH ST, CHEYENNE, WY 82001-4609
(307) 633-6114
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
955078
—
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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