Individual
HALEY GAUTREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 E 8TH ST, CHEYENNE, WY 82001-5256
(307) 632-6433
Mailing address
2310 E 8TH ST, CHEYENNE, WY 82001-5256
(307) 632-6433
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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