Individual
JEANNETTE RUTH NORRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3506 CHEYENNE ST, CHEYENNE, WY 82001-1714
(307) 256-9346
Mailing address
3506 CHEYENNE ST, CHEYENNE, WY 82001-1714
(307) 256-9346
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251C00000X
—
WY
Enumeration date
11/19/2008
Last updated
11/19/2008
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