Individual
ELMA SERVANTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W 22ND AVE, TORRINGTON, WY 82240-2302
(307) 575-0820
Mailing address
318 W 11TH AVE, TORRINGTON, WY 82240-3349
(307) 575-0820
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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