Individual
DELLA BEVARD-COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4514 LARAMIE ST # B, CHEYENNE, WY 82001-2154
(307) 638-8182
(307) 638-8182
Mailing address
4514 LARAMIE ST # B, CHEYENNE, WY 82001-2154
(307) 638-8182
(307) 638-8182
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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