Individual
RENEE MARIE PADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1826 E 18TH ST, CHEYENNE, WY 82001-5020
(307) 287-9622
Mailing address
1826 E 18TH ST, CHEYENNE, WY 82001-5020
(307) 287-9622
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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