Individual
JENNY J. SANDVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 N 3RD ST, LARAMIE, WY 82072-2514
(307) 742-6641
Mailing address
708 S 7TH ST, LARAMIE, WY 82070-3808
(307) 760-9833
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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