Individual
RESHA ASHLY BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 BRIDGER DR, GREEN RIVER, WY 82935-5879
(307) 875-7841
(307) 875-0166
Mailing address
905 BRIDGER DR, GREEN RIVER, WY 82935-5879
(307) 875-7841
(307) 875-0166
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3404
WY
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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