Individual
BEVERLY JEAN JULIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
632 COFFEEN AVE, SHERIDAN, WY 82801-5314
(307) 655-5510
Mailing address
26 GOLDENEYE DR, SHERIDAN, WY 82801-9017
(307) 760-7768
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
16687
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962882233
—
WY
Enumeration date
08/16/2015
Last updated
08/16/2015
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