Individual
JENI LYNN DESMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCM, RMA, CPT, EMT
Contact information
Practice address
1954 W MARIPOSA PKWY, WHEATLAND, WY 82201-3102
(307) 322-3190
Mailing address
1954 W MARIPOSA PKWY, WHEATLAND, WY 82201-3102
(307) 322-3190
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/31/2023
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