Individual
MRS. ALYCE JEAN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 BURMA RD, RIVERTON, WY 82501-8974
(307) 857-1295
Mailing address
51 BURMA RD, RIVERTON, WY 82501-8974
(307) 857-1295
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WY
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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