Individual
KRISTA R HEIKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2523 E GARFIELD ST STE C, LARAMIE, WY 82070-4893
(307) 742-6572
(307) 460-4900
Mailing address
2523 E GARFIELD ST STE C, LARAMIE, WY 82070-4893
(307) 742-6572
(307) 460-4900
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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