Individual
MARISSA HAILEY COON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 GOLDENEYE DR, SHERIDAN, WY 82801-9017
(307) 763-0103
Mailing address
10 GOLDENEYE DR, SHERIDAN, WY 82801-9017
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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