Individual
NANCY PAULINE KOZISEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
521 W LOTT ST, BUFFALO, WY 82834-1642
(307) 684-5531
(307) 684-2912
Mailing address
521 W LOTT ST, BUFFALO, WY 82834-1642
(307) 684-5531
(307) 684-2912
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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