Individual
TAMMY K WINGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1922 PINEY CREEK RD, CASPER, WY 82604-1720
(307) 532-2366
Mailing address
1922 PINEY CREEK RD, CASPER, WY 82604-1720
(307) 532-2366
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
385H00000X
Respite Care
Primary
—
—
385HR2050X
Respite Care Camp
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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