Individual
TERESA MATHENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3222 HAYFORD AVE, LARAMIE, WY 82072-5109
(307) 755-4461
Mailing address
3222 HAYFORD AVE, LARAMIE, WY 82072-5109
(307) 755-4461
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
62
WY
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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