Individual
MRS. ELAINE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6651 MONARCH CT, CASPER, WY 82604-5439
(307) 473-7483
Mailing address
PO BOX 40072, CASPER, WY 82604-1072
(307) 473-7483
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
WY
Other
Enumeration date
09/16/2006
Last updated
07/09/2007
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