Individual
JESSIKA RUTH WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1519 1/2 E PERSHING, RIVERTON, WY 82501
(307) 709-0441
Mailing address
1519 1/2 E PERSHING, RIVERTON, WY 82501
(307) 709-0441
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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