Individual
SIERRA GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 LANE 39, BURLINGTON, WY 82411-9739
(307) 272-6656
Mailing address
PO BOX 152, BURLINGTON, WY 82411-0152
(307) 272-6656
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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