Individual
DUSTIN MELVIN CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1124 TULIP DR, ROCK SPRINGS, WY 82901-6652
(307) 922-1568
Mailing address
1124 TULIP DR, ROCK SPRINGS, WY 82901-6652
(307) 922-1568
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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