Individual
MRS. BRANDIE JEAN MAESTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
(307) 352-6677
(307) 352-6614
Mailing address
2300 FOOTHILL BLVD, ROCK SPRINGS, WY 82901-5610
(307) 352-6677
(307) 352-6614
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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