Individual
HANNAH LYNNE FONDEVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2945 RIDGECREST DR, CASPER, WY 82604-4618
(307) 337-8270
Mailing address
2945 RIDGECREST DR, CASPER, WY 82604-4618
(307) 337-8270
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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